Individual
DESIREE JACQUELINE MCGANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
319 PARKS AVE, SCOTTSBORO, AL 35768-2411
(256) 259-3668
(888) 381-8569
Mailing address
PO BOX 636, SCOTTSBORO, AL 35768-0636
(256) 259-3668
(888) 381-8569
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
197
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051546443
BCBS OF AL PIN
AL
Enumeration date
07/06/2007
Last updated
10/21/2013
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