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Individual

ANGELA E CHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3418
(256) 845-3121
(256) 845-9546
Mailing address
550 MEDICAL CENTER DR SW, PO BOX 680199, FORT PAYNE, AL 35968-3418
(256) 845-3121
(256) 845-9546

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23870
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009984140
AL
01
09766
BCBS
AL
Enumeration date
05/19/2006
Last updated
04/05/2018
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