Individual
MR. BERNARD THEOTIS HALE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2936 MARTI LANE, AMERICAN FAMILY CARE INC, MONTGOMERY, AL 36116
(334) 288-0088
(334) 288-2071
Mailing address
2147 RIVERCHASE OFFICE RD, BIRMINGHAM, AL 35244-1836
(205) 403-8902
(205) 982-0278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13622
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093135
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/02/2006
Last updated
07/08/2007
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