Triad of Alabama LLC

NPI #1538111646 in Dothan, Alabama

Provider Information

NPI Number
1538111646
Entity Type
Organization
Organization Name
Triad of Alabama LLC
Subpart
Yes (part of a larger organization)
Parent Organization
TRIAD OF ALABAMA LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 17, 2006
Last Updated
Apr 14, 2009

Practice Location

Address
119 S WOODBURN DR
Address 2
SUITE 1
City
Dothan
State
Alabama
ZIP Code
36305-1050
Phone
(334) 793-9674

Authorized Official

Name
DEBBIE BREWER
Title
DIRECTOR, PROVIDER ENROLLMENT
Phone
(615) 465-7626

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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