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Contact Information

STAFF OF LIFE MED CORP PC
1011 LEIGHTON AVE
ANNISTON, AL36207-5701
 Phone: 256-770-7197
 Fax: 256-405-4439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for STAFF OF LIFE MED CORP PC · (Female)

NPI # 1144301128
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2006
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 19946
  • AL Medicaid 158627
  • AL Medicaid 529919080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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