| |
601a Corley Ave, Boaz, AL 35957-5957 | |
(256) 840-4810 | |
(256) 840-4815 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 601a Corley Ave, Boaz, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528595519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
601a Corley Ave, Boaz, AL 35957-5957 Ph: (256) 840-4810 | 601a Corley Ave, Boaz, AL 35957-5957 Ph: (256) 840-4810 |