MEDICARE: CARL & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	3336M0002X	Mail Order Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51518283	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1013965953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARL & ASSOCIATES

Provider Business Mailing Address
First Line	:	7856 WESTSIDE PARK DR
Second Line	:	SUITE C
City	:	MOBILE
State	:	AL
Zip	:	36695-8541
Country	:	US
Telephone Number	:	251-633-8090
Fax Number	:	251-633-6941

Provider Business Practice Location Address
First Line	:	7856 WESTSIDE PARK DR
Second Line	:	SUITE C
City	:	MOBILE
State	:	AL
Zip	:	36695-8541
Country	:	US
Telephone Number	:	251-633-8090
Fax Number	:	251-633-6941

Authorized Official
Title or Position	:	CEO/PRESDENT
Name	:	JERRY CARL JR.
Credential	:
Telephone Number	:	251-633-8090

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/02/2007

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Directions to “CARL & ASSOCIATES ” Practice Location

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