Individual
LOUIS DIVALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410164
UNITED HEALTHCARE
AL
Enumeration date
07/23/2006
Last updated
04/16/2008
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