Healthcare Provider Details
I. General information
NPI: 1215850185
Provider Name (Legal Business Name): BAY AREA INTEGRATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5319 US HIGHWAY 90 E SUITE 103
MOBILE AL
36619
US
IV. Provider business mailing address
PO BOX 190311
MOBILE AL
36619-0311
US
V. Phone/Fax
- Phone: 251-524-8415
- Fax:
- Phone: 251-524-8415
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LLOYD
STOKES
Title or Position: OWNER
Credential: NP-C
Phone: 251-524-8415