Individual
MR. ROY E GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MASTIN 101, MOBILE, AL 36617-2238
(251) 445-8282
(251) 445-8281
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6662
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008042
—
AL
05
—
00501046
—
MS
05
—
009941402
—
AL
05
—
009941403
—
AL
05
—
277823800
—
FL
01
—
5108042
BCBS
AL
01
—
51539457
BCBS 1720 CENTER ST
AL
01
—
51539539
BCBS 575 STANTON
AL
Enumeration date
07/12/2005
Last updated
07/01/2011
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