Organization
TUSCALOOSA ORTHOPEDIC APPLIANCE CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CARLTON MASON (OWNER)
(205) 758-5331
Entity
Organization
Contact information
Practice address
508 PAUL BRYANT DR EAST SUITE A, TUSCALOOSA, AL 35401
(205) 758-5331
(205) 758-7971
Mailing address
508 PAUL BRYANT DR, TUSCALOOSA, AL 35401-2057
(205) 758-5331
(205) 758-7971
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
638582
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52128
BLUE CROSS BLUE SHIELD
AL
01
—
80888
NORTHWOOD INSURANCE
AL
Enumeration date
02/27/2006
Last updated
08/22/2020
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