Healthcare Provider Details

I. General information

NPI: 1326629635
Provider Name (Legal Business Name): MARIA MIHAILESCU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 JONES DAIRY RD
JASPER AL
35501-6164
US

IV. Provider business mailing address

1440 JONES DAIRY RD
JASPER AL
35501-6164
US

V. Phone/Fax

Practice location:
  • Phone: 205-977-9876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number53722
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: