Provider Demographics
NPI:1578525895
Name:HEMPHILL, FREDERICK L (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:L
Last Name:HEMPHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E 10TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5784
Mailing Address - Country:US
Mailing Address - Phone:256-236-0050
Mailing Address - Fax:256-238-0903
Practice Address - Street 1:230 E 10TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5784
Practice Address - Country:US
Practice Address - Phone:256-236-0050
Practice Address - Fax:256-238-0903
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL8146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALA72967Medicare UPIN