Healthcare Provider Details

I. General information

NPI: 1306915863
Provider Name (Legal Business Name): JANET MCLAREN BOUKNIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET FRAME MCLAREN M.D.

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALABAMA FERTILITY SPECIALISTS 2700 HIGHWAY 280 S STE 370
MOUNTAIN BRK AL
35223-5409
US

IV. Provider business mailing address

2700 HIGHWAY 280 S STE 370
MOUNTAIN BRK AL
35223-5409
US

V. Phone/Fax

Practice location:
  • Phone: 205-874-0000
  • Fax: 205-874-7021
Mailing address:
  • Phone: 205-874-0000
  • Fax: 205-874-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD431274
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD30181
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: