Healthcare Provider Details

I. General information

NPI: 1821051434
Provider Name (Legal Business Name): CHRISTY JAMES GUEPET MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7540 CIPRIANO CT
FAIRHOPE AL
36532-3029
US

IV. Provider business mailing address

7540 CIPRIANO CT
FAIRHOPE AL
36532-3029
US

V. Phone/Fax

Practice location:
  • Phone: 251-990-1985
  • Fax: 251-990-1986
Mailing address:
  • Phone: 251-990-1985
  • Fax: 251-990-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23852
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: