Provider Demographics
NPI:1245333285
Name:MCCREADIE, EDITH GUBLER (MD)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:GUBLER
Last Name:MCCREADIE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1155 HILLCREST RD
Mailing Address - Street 2:BUILDING B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3921
Mailing Address - Country:US
Mailing Address - Phone:251-776-6755
Mailing Address - Fax:251-776-6854
Practice Address - Street 1:1155 HILLCREST RD
Practice Address - Street 2:BUILDING B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3921
Practice Address - Country:US
Practice Address - Phone:251-776-6755
Practice Address - Fax:251-776-6854
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL23369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51531014OtherBLUE CROSS BLUE SHIELD
AL1136560OtherUNITED HEALTH CARE (UNET)
F17012Medicare UPIN