Organization
BAMA MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY NANCE (OWNER)
(205) 247-7958
Entity
Organization
Contact information
Practice address
621 22ND AVE, SUITE A, TUSCALOOSA, AL 35401-1745
(205) 247-7958
Mailing address
621 22ND AVE, SUITE A, TUSCALOOSA, AL 35401-1745
(205) 247-7958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1333
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527406
BLUECROSS BLUESHIELD OF A
AL
Enumeration date
11/01/2006
Last updated
02/13/2009
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