Doctor Name: | DR. MARILYN JOY HEPPERLE |
NPI Number: | 1215086111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D, FRCP |
License Number: | 20750 |
Business Practice Address: | 645 Mcqueen Smith Rd N Suit 302 Prattville, AL - 360667268 |
Business Phone Number: | 3343617404 |
Business Fax Number: | 3343617863 |
Mailing Address: | 645 Mcqueen Smith Rd N, Suit 302 PRATTVILLE |
State: | AL |
Postal Code: | 360667268 |
Phone Number: | 3343617404 |
Fax Number: | 3343617863 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 20750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |