Healthcare Provider Details

I. General information

NPI: 1801444781
Provider Name (Legal Business Name): CAMRON DEVIN STOKES CST,CCMA,CNA,ECP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 DENTON DR
MONTGOMERY AL
36106-2823
US

IV. Provider business mailing address

320 VOLANTA AVE APT B3
FAIRHOPE AL
36532-3246
US

V. Phone/Fax

Practice location:
  • Phone: 850-533-3348
  • Fax:
Mailing address:
  • Phone: 850-533-3348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberY2K9K6X5
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number10040240
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: