Organization
GJ&B SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK LAMAR COLLINS (OWNER)
(205) 333-8801
Entity
Organization
Contact information
Practice address
2103 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3949
(205) 333-8801
(205) 333-8399
Mailing address
2103 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3949
(205) 333-8801
(205) 333-8399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912239
—
AL
05
—
04936718
—
MS
01
—
51541942
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
02/09/2007
Last updated
08/11/2008
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