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Organization

CHOICE MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KENETHA NICOLE BARNES (PRESIDENT)
(205) 647-1965
Entity
Organization

Contact information

Practice address
189 SMOKE RISE TRL, WARRIOR, AL 35180-4295
(205) 647-1965
(205) 647-1966
Mailing address
189 SMOKE RISE TRL, WARRIOR, AL 35180-4295
(205) 647-1965
(205) 647-1966

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
619
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51520958
BLUE CROSS DME PROVIDER
AL
Enumeration date
07/11/2006
Last updated
08/22/2020
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