Individual
DR. RANDALL TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
929 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4301
(256) 533-3624
(256) 534-9176
Mailing address
929 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4301
(256) 533-3624
(256) 534-9176
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70009
:BLUE CROSS
AL
Enumeration date
07/17/2006
Last updated
09/22/2011
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