Provider Demographics
NPI:1770872350
Name:HURST, ANNA CHESSON EDENS (MD, MS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CHESSON EDENS
Last Name:HURST
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:CHESSON
Other - Last Name:EDENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MS
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:205-297-9411
Practice Address - Street 1:720 20TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0024
Practice Address - Country:US
Practice Address - Phone:205-934-9567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33379207SG0201X, 208000000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics