Provider Demographics
NPI:1972670750
Name:RHODES, PATSY GAIL (CERTIFIED CONSULTANT)
Entity Type:Individual
Prefix:MS
First Name:PATSY
Middle Name:GAIL
Last Name:RHODES
Suffix:
Gender:F
Credentials:CERTIFIED CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 ROCKY BROOK TRL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-1001
Mailing Address - Country:US
Mailing Address - Phone:205-674-1626
Mailing Address - Fax:205-674-1999
Practice Address - Street 1:1033 ROCKY BROOK TRL
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-1001
Practice Address - Country:US
Practice Address - Phone:205-674-1626
Practice Address - Fax:205-674-1999
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51505810OtherBLUE CROSS BLUE SHIELD
AL51505810OtherBLUE CROSS BLUE SHIELD