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Organization

BALM INTERNATIONAL HEALTH CARE CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KETURAH CRAIG DPM (OWNER)
(334) 295-4144
Entity
Organization

Contact information

Practice address
507 S MAIN ST, LINDEN, AL 36748-2025
(334) 578-2357
(334) 295-5596
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
291
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113457
AL
01
1417188525
TRICARE
AL
01
DQ1809
RAILROAD MEDICARE
AL
Enumeration date
08/06/2009
Last updated
07/14/2021
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