Individual
JAMES DEVANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
101 W COVINGTON AVE, SUITE B, OPP, AL 36467-2032
(334) 493-7081
(334) 493-1525
Mailing address
PO BOX 375, OPP, AL 36467-0375
(334) 493-7081
(334) 493-1525
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
684
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009809650
—
AL
01
—
1162690001
PTAN
AL
01
—
51032703
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/06/2016
Last updated
06/06/2016
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