Healthcare Provider Details

I. General information

NPI: 1003983586
Provider Name (Legal Business Name): INTERNAL MEDICINE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LEIGHTON AVE SUITE 101
ANNISTON AL
36207-5700
US

IV. Provider business mailing address

901 LEIGHTON AVE SUITE 101
ANNISTON AL
36207-5700
US

V. Phone/Fax

Practice location:
  • Phone: 256-236-0890
  • Fax: 256-236-7078
Mailing address:
  • Phone: 256-236-0890
  • Fax: 256-236-7078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number8206
License Number StateAL

VIII. Authorized Official

Name: JAMES S. HIXON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 256-236-0890