Healthcare Provider Details

I. General information

NPI: 1083655187
Provider Name (Legal Business Name): ANTHONY ESPOSITO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 LEIGHTON AVE
ANNISTON AL
36201
US

IV. Provider business mailing address

1130 LEIGHTON AVE
ANNISTON AL
36201
US

V. Phone/Fax

Practice location:
  • Phone: 256-231-0022
  • Fax: 256-231-2266
Mailing address:
  • Phone: 256-231-0022
  • Fax: 256-231-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number00020717
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: