Provider Demographics
NPI:1497050025
Name:ANGELA R. SOMMERSET, M.D.,P.C.
Entity Type:Organization
Organization Name:ANGELA R. SOMMERSET, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SOMMERSET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-461-1003
Mailing Address - Street 1:PO BOX 1185
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5185
Mailing Address - Country:US
Mailing Address - Phone:256-461-1003
Mailing Address - Fax:256-461-1005
Practice Address - Street 1:8191 MADISON BLVD
Practice Address - Street 2:SUITE #B
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2018
Practice Address - Country:US
Practice Address - Phone:256-461-1003
Practice Address - Fax:256-461-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15965261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care