DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYSICIANS CREDENTIALING SERVICES

Active Organization

Point of Service · HUNTSVILLE, AL

Registration Details

NPI Number
1619711918
Provider Type
Organization
NPI Issued
Jun 21, 2024 (1.835376269209 yrs)
Last Updated
Jun 21, 2024

Practice Information

Address
2743 BOB WALLACE AVE SW STE D
HUNTSVILLE, AL, 358054103
Browse AL providers · Browse ZIP 35805
Phone
2562468634
Fax
2569377571
Primary Specialty
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.