# WEST ALABAMA AIDS OUTREACH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Horizons Health Services - Starkville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831728799
- **Authorized official:** MICHELLE HAWTHORNE MS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (205) 292-2428

## Contact information

- **Practice address:** 900 STARK RD, STARKVILLE, MS 39759-3613
- **Practice address phone:** (205) 759-8470
- **Mailing address:** 2720 6TH ST, TUSCALOOSA, AL 35401-1731
- **Mailing address phone:** (205) 759-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 12/02/2022