Individual
MR. BENNIE PERDUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 PIN OAK LN, ODENVILLE, AL 35120-6876
(205) 616-0648
Mailing address
69 PIN OAK LN, ODENVILLE, AL 35120-6876
(205) 616-0648
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
AL
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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