Individual provider · NPI-1

Annagrace Gardner Allen, PA

Physician Assistant · Birmingham, AL

NPI number1346062791
StatusActive
Last updated in NPPESJun 4, 2026

Details

NPI
1346062791
Entity type
Individual (NPI-1)
Name
Annagrace Gardner Allen
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2024
Certification date
Jun 4, 2026
Last updated
Jun 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1936ALYes

Practice location

800 Lakeshore Dr
Birmingham, AL 35229-0001

Phone 205-726-4720

Mailing address

800 Lakeshore Dr
Birmingham, AL 35229-0001

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