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Individual

CAROLINE O FOLASHADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
(334) 293-6670
(334) 293-6676
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 263-2301
(334) 263-0881

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00023771
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51010218
BCBS
AL
01
51010219
BCBS
AL
01
P00038778
MEDICARE RAILROAD
AL
Enumeration date
05/17/2006
Last updated
07/08/2007
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