Organization
STAFF OF LIFE MED CORP PC
Active
Other names
Mohammad F Ismail md
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET S. PORTER (OFF MGR)
(256) 770-7197
Entity
Organization
Contact information
Practice address
1011 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 770-7197
(256) 405-4439
Mailing address
1011 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 770-7197
(256) 405-4439
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
19946
AL
173000000X
Legal Medicine
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158627
—
AL
05
—
529919080
—
AL
Enumeration date
10/18/2006
Last updated
09/29/2022
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