Healthcare Provider Details

I. General information

NPI: 1760447510
Provider Name (Legal Business Name): ANNISTON OBGYN ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LEIGHTON AVE SUITE 501
ANNISTON AL
36207-5700
US

IV. Provider business mailing address

901 LEIGHTON AVE SUITE 501
ANNISTON AL
36207-5700
US

V. Phone/Fax

Practice location:
  • Phone: 256-237-6755
  • Fax: 256-236-1823
Mailing address:
  • Phone: 256-237-6755
  • Fax: 256-236-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLEY SNIDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 256-237-6755