Doctor Name: | MRS. MARIA A STILES |
NPI Number: | 1124150164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 12549 |
Business Practice Address: | 206 Rescia Ave Rainbow City, AL - 359065933 |
Business Phone Number: | 2059338101 |
Business Fax Number: | 2564137813 |
Mailing Address: | 302 Macon Dr Se, JACKSONVILLE |
State: | AL |
Postal Code: | 362652659 |
Phone Number: | 2059338101 |
Fax Number: | 2564137813 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 12549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |