Provider Demographics
NPI:1164290268
Name:FRANKS, ANGELIA
Entity Type:Individual
Prefix:
First Name:ANGELIA
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 BIG SANDY RD
Mailing Address - Street 2:
Mailing Address - City:AMMA
Mailing Address - State:WV
Mailing Address - Zip Code:25005-9596
Mailing Address - Country:US
Mailing Address - Phone:256-263-7213
Mailing Address - Fax:
Practice Address - Street 1:2740 BIG SANDY RD
Practice Address - Street 2:
Practice Address - City:AMMA
Practice Address - State:WV
Practice Address - Zip Code:25005-9596
Practice Address - Country:US
Practice Address - Phone:256-263-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker