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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

NPI # 1144301128
LBN Legal business name STAFF OF LIFE MED CORP PC
Authorized official MARGARET PORTER - (OFF MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 09/29/2022 - About 4 years ago
Identifiers
AL License # 19946
AL Medicaid 158627
AL Medicaid 529919080
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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