Healthcare Provider Details

I. General information

NPI: 1376193292
Provider Name (Legal Business Name): BARBARA ANN MCGRAW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8780 COUNTY ROAD 1435
VINEMONT AL
35179-7702
US

IV. Provider business mailing address

8780 COUNTY ROAD 1435
VINEMONT AL
35179-7702
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-1632
  • Fax:
Mailing address:
  • Phone: 256-739-1632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: