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Individual

CLARA V. MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2451 FILLINGIM ST, BLDG. C, MOBILE, AL 36617-2238
(251) 445-8242
(251) 445-8250
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 445-8242
(251) 445-8250

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15798
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000086942
AL
05
00121709
MS
05
009935495
AL
05
1550264
LA
01
25-10237
UNITED HEALTH CARE
AL
05
255663400
FL
01
51518399
BLUE CROSS
AL
Enumeration date
06/02/2006
Last updated
05/11/2015
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