NPI 1619711918

Physicians Credentialing Services

Organisation Point of Service Huntsville, AL

Practice location

Address: 2743 Bob Wallace Ave SW STE D, Huntsville, AL 35805-4103
Phone: (256) 246-8634
Fax: (256) 937-7571

Authorised official

Name: Leah Tissue
Title: Owner
Phone: (256) 246-8634

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Alabama →

Registry record

NPI: 1619711918
Entity type: Organization
NPI issued: 21 Jun 2024
Record last updated: 21 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.