Organization
ANNISTON DIGESTIVE HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD A ELOUBEIDI MD (MD/OWNER)
(256) 237-1001
Entity
Organization
Contact information
Practice address
901 LEIGHTON AVE, SUITE 103, ANNISTON, AL 36207-5700
(256) 237-1001
(256) 237-0016
Mailing address
901 LEIGHTON AVE, SUITE 103, ANNISTON, AL 36207-5700
(256) 237-1001
(256) 237-0016
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23315
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165429
—
AL
01
—
511-53806
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/12/2014
Last updated
09/08/2015
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