Organization
ANNISTON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHALA CHINDALORE M.D. (RHEUMATOLOGIST)
(256) 236-5631
Entity
Organization
Contact information
Practice address
1010 CHRISTINE AVE, ANNISTON, AL 36207-5710
(256) 236-5631
(256) 241-2241
Mailing address
PO BOX 2127, ANNISTON, AL 36202-2127
(256) 236-5631
(256) 241-2241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AL
207R00000X
Internal Medicine Physician
Primary
—
AL
207RH0003X
Hematology & Oncology Physician
—
AL
207RP1001X
Pulmonary Disease Physician
—
AL
207RR0500X
Rheumatology Physician
—
AL
261QM1300X
Multi-Specialty Clinic/Center
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060227
—
AL
01
—
00013001
NHC HEALTH BENEFIT PLAN
AL
Enumeration date
08/17/2006
Last updated
03/08/2016
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