Individual
DR. CARMELLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907A 31ST ST E, TUSCALOOSA, AL 35405-2507
(205) 633-3900
(205) 633-3848
Mailing address
PO BOX 2495, TUSCALOOSA, AL 35403-2495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14587
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087440
—
AL
01
—
87440
BCBS OF AL
AL
Enumeration date
08/25/2006
Last updated
07/08/2007
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