| David Anakwenze Md Psychiatric Outreach Llc | |
|
2809 W Mall Dr Florence AL 35630-1563 | |
| (256) 767-4805 | |
| (256) 767-4954 |
| Full Name | David Anakwenze Md Psychiatric Outreach Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2809 W Mall Dr, Florence, Alabama |
| Authorized Official Name and Position | David Anakwenze (MEDICAL DOCTOR) |
| Authorized Official Contact | 2567674805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Anakwenze Md Psychiatric Outreach Llc 2809 W Mall Dr Florence AL 35630-1563 Ph: (256) 767-4805 | David Anakwenze Md Psychiatric Outreach Llc 2809 W Mall Dr Florence AL 35630-1563 Ph: (256) 767-4805 |
| NPI Number | 1487722302 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 8921000951 |
|---|---|
| Medicare Enrollment ID | O20070205000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487722302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | AL23908 (Alabama) | Primary |
| Provider Name | David U Anakwenze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356306559 PECOS PAC ID: 1355311267 Enrollment ID: I20040728001141 |
| Provider Name | Harmony Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483300 PECOS PAC ID: 2264714690 Enrollment ID: I20170120000159 |
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