Healthcare Provider Details

I. General information

NPI: 1184875569
Provider Name (Legal Business Name): CELESTE PIERSON FLEMING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 DAUPHIN ST
MOBILE AL
36604-2547
US

IV. Provider business mailing address

1151 DAUPHIN ST
MOBILE AL
36604-2547
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-0075
  • Fax: 251-445-0072
Mailing address:
  • Phone: 251-445-0075
  • Fax: 251-445-0072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-540
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: