Organization
MEDICAL NECESSITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE F GANDLER (PRESIDENT)
(205) 877-8474
Entity
Organization
Contact information
Practice address
13 OFFICE PARK CIR STE 14B, BIRMINGHAM, AL 35223-2578
(205) 877-8474
(205) 969-1423
Mailing address
3420 OAK CANYON DR, BIRMINGHAM, AL 35243-4811
(205) 877-8474
(205) 969-1423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51033748
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/05/2006
Last updated
08/22/2020
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