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CLAUDIA ELISABETTA AGNEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3601 CCI DR., HUNTSVILLE, AL 35805
(256) 705-4224
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051538755
MEDICARE NUMBER
AL
01
510-50070
BCBS OF ALABAMA
AL
01
51538755
BCBS OF ALABAMA
AL
01
51545057
BCBS OF ALABAMA
AL
01
51545058
BCBS OF ALABAMA
AL
05
528701110
AL
01
CA0084
RR MEDICARE
AL
Enumeration date
02/01/2007
Last updated
10/16/2008
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