Organization
ANNISTON UROLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINTON A CRAWFORD M.D. (PRESIDENT)
(256) 237-6717
Entity
Organization
Contact information
Practice address
622 LEIGHTON AVE, ANNISTON, AL 36207-5744
(256) 237-6717
Mailing address
622 LEIGHTON AVE, ANNISTON, AL 36207-5744
(256) 237-6717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL4963
RAILROAD MEDICARE
AL
Enumeration date
05/09/2007
Last updated
02/22/2008
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