Healthcare Provider Details

I. General information

NPI: 1699693549
Provider Name (Legal Business Name): CAROL C PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 USA DRIVE NORTH HAHN 4045- HEALTH SERVICES BUILDING
MOBILE AL
36688-0002
US

IV. Provider business mailing address

161 N SECTION ST STE C
FAIRHOPE AL
36532-2426
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-9502
  • Fax:
Mailing address:
  • Phone: 205-383-9716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number1-134582
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: