Provider Demographics
NPI:1811977135
Name:STILL, ANN CHRISTINE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CHRISTINE
Last Name:STILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W MARKET ST STE 8
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2454
Mailing Address - Country:US
Mailing Address - Phone:256-464-2399
Mailing Address - Fax:256-444-1198
Practice Address - Street 1:1005 W MARKET ST STE 8
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2454
Practice Address - Country:US
Practice Address - Phone:256-464-2399
Practice Address - Fax:256-444-1198
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21703207L00000X, 207LP2900X, 207LA0401X
TN60210207LA0401X
ALMD.21703207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO306829Medicare PIN
G78944Medicare UPIN
AL102I055887Medicare PIN
AL051517491Medicaid
COCO306829Medicare PIN