Healthcare Provider Details

I. General information

NPI: 1104827542
Provider Name (Legal Business Name): SAUNDERS MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 JAMES ST
OZARK AL
36360-2014
US

IV. Provider business mailing address

4160 COUNTY ROAD 53
ABBEVILLE AL
36310-6456
US

V. Phone/Fax

Practice location:
  • Phone: 334-445-9811
  • Fax: 334-585-6438
Mailing address:
  • Phone: 334-585-2154
  • Fax: 334-585-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number607
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number111528
License Number StateAL

VIII. Authorized Official

Name: MRS. BB S SAUNDERS
Title or Position: INS/OFC MGR
Credential:
Phone: 334-585-2154