Organization
CENTRAL ALABAMA FOOT CARE LLC
Active
Other names
GREGORY V. DUBAY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE B EADY (OFFICE MANAGER)
(334) 283-4178
Entity
Organization
Contact information
Practice address
875 FRIENDSHIP RD, SUITE J, TALLASSEE, AL 36078-1234
(334) 283-4178
(334) 283-2190
Mailing address
PO BOX 780367, TALLASSEE, AL 36078-0004
(334) 283-4178
(334) 283-2190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
71
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552056
—
AL
01
—
515-12528
BCBS
—
01
—
529914900
MEDICAID GROUP
AL
01
—
J027
MEDICARE GROUP
AL
Enumeration date
02/19/2008
Last updated
07/29/2008
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