Towles-Moore, Stacy

Towles-Moore, Stacy is an individual health care provider with primary practice located at 1316 Noble St , Anniston AL 36201-4643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Towles-Moore, Stacy can be contacted via phone (256) 492-0131.

Contact Information

Primary practice address
1316 Noble St Anniston AL 36201-4643
Phone: (256) 492-0131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14423 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18858 Mississippi

Profile Details

NPI number 1992710743
LBN Legal business name Towles-Moore, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Mar 29th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992710743 NPPES
Alabama Other 511-14627(ANNISTON) BLUE CROSS
Alabama MEDICAID 125268 BLUE CROSS
Alabama MEDICAID 8589530 BLUE CROSS

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