Individual
DR. ROSEMARIE JACK CAILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1800 MCFARLAND BLVD N, SUITE 220, TUSCALOOSA, AL 35406-2114
(205) 409-0175
(205) 764-5937
Mailing address
3546 BROOK HIGHLAND DR, TUSCALOOSA, AL 35406-2952
(205) 409-0175
(205) 764-5937
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
313
AL
213E00000X
Podiatrist
DPMPD227R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021488062
MEDICARE ID
AL
05
—
1560430
—
LA
01
—
P00044550
RR MCR
—
Enumeration date
07/31/2006
Last updated
06/12/2015
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