=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447483961
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NARROWS PODIATRY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2009
-----------------------------------------------------
Last Update Date | 12/23/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 153 NARROWS PARKWAY SUITE 102
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-437-3236
-----------------------------------------------------
Fax | 205-437-3229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 153 NARROWS PARKWAY SUITE 102
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-437-3236
-----------------------------------------------------
Fax | 205-437-3229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | DR. STEPHEN LAWRENCE STERN
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 205-437-3236
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 165
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 00228
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 226
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------