Individual
DR. ANTHONY JOSEPH FAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 GREENBRIER DEAR RD, ANNISTON, AL 36207-8706
(256) 832-4051
(256) 832-4092
Mailing address
1425 GREENBRIER DEAR RD, ANNISTON, AL 36207-8706
(256) 832-4051
(256) 832-4092
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14852
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009918040
—
AL
Enumeration date
03/09/2006
Last updated
08/09/2019
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