Provider Demographics
NPI:1316583537
Name:LEGG, ALBERT DAY III (RN)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:DAY
Last Name:LEGG
Suffix:III
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1607
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35502-1607
Mailing Address - Country:US
Mailing Address - Phone:205-302-0706
Mailing Address - Fax:205-302-0734
Practice Address - Street 1:86 N WALSTON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504-8621
Practice Address - Country:US
Practice Address - Phone:205-302-0706
Practice Address - Fax:205-302-0734
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069932163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse