Individual
MRS. MARIA A STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 RESCIA AVE, RAINBOW CITY, AL 35906-5933
(205) 933-8101
(256) 413-7813
Mailing address
302 MACON DR SE, JACKSONVILLE, AL 36265-2659
(205) 933-8101
(256) 413-7813
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
12549
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12549
MEDICAL LICENSE
PR
Enumeration date
03/12/2007
Last updated
08/04/2015
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