Camandjam LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AL14587 Issued in AL

Legal business name

CAMANDJAM LLC

Practice address

907A 31St St E
Tuscaloosa, AL 35405-2507

Phone

(205) 633-3900

Fax

(205) 633-3848

NPI assigned

Apr 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carmella Anderson, M.D.

Title

President

Phone

(205) 633-3900

Specialties & licenses 1

Addresses

Other names 1

• CARMELLA ANDERSON MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1124293725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907A 31ST ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052507",
            "telephone_number": "205-633-3900",
            "fax_number": "205-633-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907A 31ST ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052507",
            "telephone_number": "205-633-3900",
            "fax_number": "205-633-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMANDJAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CARMELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-633-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL14587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARMELLA ANDERSON MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry S Callahan, MD
• Crystal Callanan
• Kaitlin Callaway
• Calloway
• Charice Calloway
• Valerie Camareno Collazo, MD
• Camellia Dental Care LLC
• Adrian Daren Cameron, LPTA
• Elizabeth Cameron
• Krystal M Cameron, R.PH.

• Family Medicine Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.