Individual
VICKI L DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18115 HIGHWAY 69, JASPER, AL 35501-7723
(205) 221-2745
(205) 387-7739
Mailing address
18115 HIGHWAY 69, JASPER, AL 35501-7723
(205) 221-2745
(205) 387-7739
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
446
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51511577
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/07/2007
Last updated
07/08/2007
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