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Organization

NDA OF ALABAMA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA L TURNER (PHYSICIAN PRACTICE ANALYST)
(615) 321-5577
Entity
Organization

Contact information

Practice address
29 L V STABLER DR, GREENVILLE, AL 36037-3850
(334) 383-2249
(334) 383-2342
Mailing address
29 L V STABLER DR, GREENVILLE, AL 36037-3850
(334) 383-2249
(334) 383-2342

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009942355
AL
01
051098107
BCBS IP
AL
01
051098108
BCBS OP
AL
05
051550185
AL
01
260050017
RAILROAD MEDICARE
AL
Enumeration date
05/14/2007
Last updated
08/14/2008
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