Healthcare Provider Details
I. General information
NPI: 1164615076
Provider Name (Legal Business Name): ALAIA GREENE D.O., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/23/2007
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
316 S MCKENZIE ST STE 118
FOLEY AL
36535-1981
US
IV. Provider business mailing address
316 S MCKENZIE ST STE 118
FOLEY AL
36535-1981
US
V. Phone/Fax
- Phone: 251-275-6669
- Fax:
- Phone: 251-275-6669
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2711 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | OS 9408 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: