Organization
JAMES DEVANE ANDERSON
Active
Other names
Andersons Home Oxygen & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DEVANE ANDERSON RRT (OWNER)
(334) 493-7081
Entity
Organization
Contact information
Practice address
101 W COVINGTON AVE, B, OPP, AL 36467-2032
(334) 493-7081
(334) 493-1525
Mailing address
PO BOX 375, OPP, AL 36467-0375
(334) 493-7081
(334) 493-1525
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009809650
—
AL
01
—
51032703
BCBS OF AL
AL
Enumeration date
07/20/2006
Last updated
06/05/2008
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