Healthcare Provider Details

I. General information

NPI: 1013659010
Provider Name (Legal Business Name): ALEAH RENEE SINGLETON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

624 VAN BUREN DR
SUMMERVILLE SC
29486-0405
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4890
  • Fax: 504-568-5140
Mailing address:
  • Phone: 910-494-6985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: