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Individual

MR. JAMES E NETTLES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
6767 OLD MADISON PIKE, SUITE 400, HUNTSVILLE, AL 35806-2172
(256) 922-6650
(256) 922-6651
Mailing address
6767 OLD MADISON PIKE, SUITE 400, HUNTSVILLE, AL 35806-2172
(256) 922-6650
(256) 922-6651

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4152
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51528524
BCBS
AL
Enumeration date
02/23/2006
Last updated
07/08/2007
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