Medley, Anna Black
Medley, Anna Black is an individual health care provider with primary practice located at 2605 Gault Ave N Ste 200 , Fort Payne AL 35967-3700. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Medley, Anna Black can be contacted via phone (256) 979-1550.Contact Information
Primary practice address
2605 Gault Ave N Ste 200
Fort Payne AL 35967-3700
Phone: (256) 979-1550
Fax: (256) 979-1576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1905 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1599 | Alabama |
Profile Details
| NPI number | 1821578998 |
|---|---|
| LBN Legal business name | Medley, Anna Black |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2018 |
| Last updated | Jun 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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