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Individual

DR. ACE I ANGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1620 MULBERRY STREET, MONTGOMERY, AL 36106
(334) 239-7335
(334) 239-7118
Mailing address
1620 MULBERRY ST, MONTGOMERY, AL 36106-1522
(334) 239-7335
(334) 239-7118

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
183
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000029813
AL
05
000029826
AL
05
000076495
AL
01
480033398
RAILROAD MEDICARE
AL
01
51014507
BCBS
AL
01
51029813
BCBS
AL
01
51029826
BCBS
AL
01
51076495
BCBS
AL
05
8900101021
AL
Enumeration date
09/27/2005
Last updated
03/06/2015
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