Organization
TERENA STIDHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERENA S STIDHAM FNP-BC (NURSE PRACTITIONER)
(205) 570-8222
Entity
Organization
Contact information
Practice address
1050 CONVALESCENT RD, VERNON, AL 35592-4823
(205) 570-8222
Mailing address
2075 COUNTY HIGHWAY 122, HAMILTON, AL 35570-8414
(205) 570-8222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
06/22/2015
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