Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-03-28
- Last updated
- 2020-08-22
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 4804 MCCLELLAN BLVD
- City
- ANNISTON AL
- Postal code
- 362061863
- Phone
- 256-231-5000
Organization contact
- Name
- SAMMY FELTON
- Title
- Superintendent
- Phone
- 2562315000
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.