Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 33379 | AL |
N | 208000000X | Pediatrician | 33379 | AL |
NPI | 1770872350 |
---|---|
Provider Name | Dr. Anna Chesson Edens Hurst |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35294-0024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 22/07/2016 |