MEDICARE: TERRY A AKERS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	1-037904	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	51003657	OTHER	AL	BCBS OF AL #

General Provider Information

NPI Number	:	1174519201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY A AKERS CRNA

Provider Business Mailing Address
First Line	:	PO BOX 55905
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35255-5905
Country	:	US
Telephone Number	:	205-979-5882
Fax Number	:	205-979-1248

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3423
Country	:	US
Telephone Number	:	205-930-7296
Fax Number	:	205-930-7256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	07/09/2007

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Directions to “ TERRY A AKERS CRNA” Practice Location

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