Healthcare Provider Details

I. General information

NPI: 1346318474
Provider Name (Legal Business Name): BELINDA MAPLES M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FITNESS WAY SUITE 1200
ATHENS AL
35611-2492
US

IV. Provider business mailing address

101 FITNESS WAY SUITE 1200
ATHENS AL
35611-2492
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-0636
  • Fax: 256-232-1058
Mailing address:
  • Phone: 256-232-0636
  • Fax: 256-232-1058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20182
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20182
License Number StateAL

VIII. Authorized Official

Name: MS. RENEE T STUBBLEFIELD
Title or Position: OFFICE MANAGER
Credential:
Phone: 256-232-0636