Healthcare Provider Details

I. General information

NPI: 1689613473
Provider Name (Legal Business Name): DONNELLY B HOWARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S UNIVERSITY BLVD
MOBILE AL
36608-3271
US

IV. Provider business mailing address

3929 AIRPORT BLVD # 1
MOBILE AL
36609-1987
US

V. Phone/Fax

Practice location:
  • Phone: 251-660-5787
  • Fax: 251-460-7923
Mailing address:
  • Phone: 251-470-5842
  • Fax: 251-470-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25493
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25493
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: