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General NPI Number Information
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NPI Number | 1124150164
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Entity Type | Individual
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Provider Name | MARIA A STILES M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 206 RESCIA AVE
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City | RAINBOW CITY
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State | AL
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Zip | 35906-5933
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Country | US
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Telephone | 205-933-8101
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Fax | 256-413-7813
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Provider Business Mailing Address
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Address Line | 302 MACON DR SE
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City | JACKSONVILLE
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State | AL
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Zip | 36265-2659
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Country | US
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Telephone | 205-933-8101
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Fax | 256-413-7813
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 12549
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License Number State | PR
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