Organization
CARDIOTHORACIC SURGICAL ASSOCIATES OF MONTGOMERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W BLATCHFORD III MD (OWNER)
(334) 288-1033
Entity
Organization
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 708, MONTGOMERY, AL 36116-2001
(334) 288-1033
(334) 288-8823
Mailing address
2055 E SOUTH BLVD, SUITE 708, MONTGOMERY, AL 36116-2001
(334) 288-1033
(334) 288-8823
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0006734
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529920080
—
AL
Enumeration date
06/14/2006
Last updated
06/23/2009
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