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Organization

THE FOOT GROUP P C

Active
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Organization

THE FOOT GROUP P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARA L. F. BLASINGAME D. P. M. (PRESIDENT)
(256) 772-8566
Entity
Organization

Contact information

Practice address
131 W DUBLIN DR, SUITE A, MADISON, AL 35758-1787
(256) 772-8566
(256) 774-8211
Mailing address
PO BOX 6487, HUNTSVILLE, AL 35813-0487
(256) 772-8566
(256) 774-8211

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
AL164
AL
261QP1100X
Podiatric Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051514658
THE FOOT GROUP'S GROUP #
AL
01
051514659
THE FOOT GROUP'S BCBS #
AL
05
529918240
AL
05
529918270
AL
01
Q112
BCBS GROUP PAYEE NUMBER
AL
Enumeration date
11/13/2005
Last updated
04/19/2020
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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