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Individual

DR. MANCI M BALAS HOESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3735 CORPORATE WOODS DR STE 105, VESTAVIA, AL 35242-2296
(205) 900-7337
(855) 583-3156
Mailing address
3735 CORPORATE WOODS DR STE 105, VESTAVIA, AL 35242-2296
(205) 900-7337
(855) 583-3156

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00017481
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051022734
BLUE SHIELD
AL
01
051034754
BLUE SHIELD
AL
01
051034755
BLUE SHIELD
AL
01
051519831
BLUE SHIELD
AL
01
051539291
BLUE SHIELD
AL
05
303720278
AL
05
303730278
AL
05
303740278
AL
05
303790278
AL
Enumeration date
03/15/2006
Last updated
06/13/2023
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