Organization
CENTRAL ALABAMA GASTROENTEROLOGY,PC
Active
Organization
CENTRAL ALABAMA GASTROENTEROLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK KEITH HOLCOMBE M.D. (PRESIDENT)
(256) 329-2829
Entity
Organization
Contact information
Practice address
3368 HIGHWAY 280, SUITE 214, ALEXANDER CITY, AL 35010-3393
(256) 329-2829
(256) 329-9135
Mailing address
3368 HIGHWAY 280, SUITE 214, ALEXANDER CITY, AL 35010-3393
(256) 329-2829
(256) 329-9135
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51028627
BLUE CROSS BLUE SHIELD
AL
05
—
529603400
—
AL
Enumeration date
02/26/2007
Last updated
03/22/2010
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