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Organization

TRACY D. ADAMS ET AL PTR

Active
Other names
Trinity Orthotics & Pedorthics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRACY DELANE ADAMS (OWNER/ORTHOTIST)
(256) 216-8376
Entity
Organization

Contact information

Practice address
910 W HOBBS ST, ATHENS, AL 35611-1412
(256) 216-8376
(256) 216-8377
Mailing address
910 W HOBBS ST, ATHENS, AL 35611-1412
(256) 216-8376
(256) 216-8377

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
72
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511-01976
BCBS
AL
01
511-5872
BLUE CROSS BLUE SHEILD
AL
Enumeration date
11/19/2009
Last updated
11/18/2011
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