Provider Demographics
NPI:1629120233
Name:LEIGHTON FAMILY HEALTH, INC
Entity Type:Organization
Organization Name:LEIGHTON FAMILY HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVANEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:256-446-6101
Mailing Address - Street 1:1960 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LEIGHTON
Mailing Address - State:AL
Mailing Address - Zip Code:35646-3703
Mailing Address - Country:US
Mailing Address - Phone:256-446-6101
Mailing Address - Fax:256-446-5757
Practice Address - Street 1:1960 1ST ST
Practice Address - Street 2:
Practice Address - City:LEIGHTON
Practice Address - State:AL
Practice Address - Zip Code:35646-3703
Practice Address - Country:US
Practice Address - Phone:256-446-6101
Practice Address - Fax:256-446-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1057646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00169Medicare UPIN