Organization
BLUE BAYOU SERVICES GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL SHOEMAKER (CEO)
(205) 415-1539
Entity
Organization
Contact information
Practice address
2214 3RD AVE N, BIRMINGHAM, AL 35203-3822
(205) 415-1539
Mailing address
2214 3RD AVE N, BIRMINGHAM, AL 35203-3822
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
21413
AL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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