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

MRS. ANNA BLACK MEDLEY, PA-C

Active

MRS. ANNA BLACK MEDLEY, PA-C is a Physician Assistant healthcare provider located in FORT PAYNE, Alabama. NPI 1821578998 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT PAYNE, AL

Registration Details

NPI Number
1821578998
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2018 (7.8468938007582 yrs)
Last Updated
Jun 10, 2021
Licenses
1905 (AL)
1599 (AL)

Practice Information

Address
2605 GAULT AVE N STE 200
FORT PAYNE, AL, 359673700
Browse AL providers · Browse ZIP 35967
Phone
2569791550
Fax
2569791576
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORT PAYNE, AL

Name Credential NPI
BRILEE JOHNSON 1407392558
CHASE AUSTIN BROWN PA-C 1891266284
EMILY S JONES 1992378608
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.