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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