Individual
MARIO B PAPAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 GILBREATH DR, ONEONTA, AL 35121-2827
(205) 274-3004
(205) 274-3002
Mailing address
PO BOX 11407 LOCKBOX 1066, BIRMINGHAM, AL 35246-1066
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00006685
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914083
—
AL
01
—
051009629
BCBS
AL
01
—
051520364
BCBS
AL
01
—
051522586
BCBS PROVIDER NUMBER
AL
05
—
051522586
—
AL
05
—
051554487
—
AL
01
—
5836556
AETNA
AL
Enumeration date
09/20/2005
Last updated
06/26/2009
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