Healthcare Provider Details

I. General information

NPI: 1679726327
Provider Name (Legal Business Name): ANGELA LAREESE FEARS-CURRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. ANGELA FEARS

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 B E 11TH STREET
ANNISTON AL
36201
US

IV. Provider business mailing address

P.O. BOX 1046 21 B E 11TH STREET
ANNISTON AL
36201
US

V. Phone/Fax

Practice location:
  • Phone: 256-240-7059
  • Fax: 256-240-7059
Mailing address:
  • Phone: 256-240-7059
  • Fax: 256-240-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code243U00000X
TaxonomyRadiology Practitioner Assistant
License Number2006003357
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: