Most Relevant Information
Provider Data
| NPI Number: | 1003495201 |
| Provider Name: | ANESIA GAIL ALLEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2021 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
1308 TUSCALOOSA AVE SW
BIRMINGHAM
AL
352111948
Practice Location Phone/Fax
| Phone: | 2056796325 |
| Fax: |
Provider Mailing Location
1308 TUSCALOOSA AVE SW
BIRMINGHAM
AL
352111948
Provider Mailing Phone/Fax
| Phone: | 2056796325 |
| Fax: |