Individual
MR. JOHNNY ANTHONY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5368G
AL
1041C0700X
Clinical Social Worker
5668G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5368G
SOCIAL WORK
AL
Enumeration date
01/03/2022
Last updated
01/04/2022
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