Organization
GILLES X BEAUMONT DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILLES XAVIER BEAUMONT D.C. (PRESIDENT)
(251) 341-1211
Entity
Organization
Contact information
Practice address
801 DOWNTOWNER BLVD, MOBILE, AL 36609-5403
(251) 341-1211
(251) 414-5104
Mailing address
801 DOWNTOWNER BLVD, MOBILE, AL 36609-5403
(251) 341-1211
(251) 414-5104
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1080
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4359240
AETNA
AL
01
—
44-10081
UNTIED HEALTH CARE
AL
01
—
51025978
BCBS ALABAMA
—
Enumeration date
03/13/2008
Last updated
03/13/2008
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