Organization
ADVANCED FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA IOLA BROWN DPM (CEO/OWNER)
(334) 271-3333
Entity
Organization
Contact information
Practice address
348 SAINT LUKES DR, MONTGOMERY, AL 36117-7108
(334) 271-3333
(334) 271-3768
Mailing address
7956 VAUGH RODE, #193, MONTGOMERY, AL 36116
(334) 233-3364
(334) 271-3768
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
134
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08630
BCBS OF ALABAMA
AL
Enumeration date
09/12/2007
Last updated
12/20/2007
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