Individual
MR. JAMES CECIL LABRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
701 UNIVERSITY BLVD E STE 808, TUSCALOOSA, AL 35401-7433
(205) 759-5640
(205) 759-5639
Mailing address
701 UNIVERSITY BLVD E STE 808, TUSCALOOSA, AL 35401-7433
(205) 759-5640
(205) 759-5639
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-79
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-39606
BCBS OF AL
AL
01
—
P00395581
RAILROAD MEDICARE PIN
—
Enumeration date
07/31/2006
Last updated
12/30/2007
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