Organization
ANISKA PROFESSIONAL AND EDUCATIONAL SERVICES
Active
Organization
ANISKA PROFESSIONAL AND EDUCATIONAL SERVICES
Active
Other names
The Traveling Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENITA GAIL BROWN MD (PRESIDENT)
(256) 613-2709
Entity
Organization
Contact information
Practice address
130 ANISKA DRIVE, GADSDEN, AL 35901
(256) 613-2709
Mailing address
130 ANISKA DR, GADSDEN, AL 35901-9133
(256) 613-2709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
30452
AL
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
30452
AL
Other
Enumeration date
05/12/2011
Last updated
05/20/2011
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