Organization
AGAPE MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY E STIDHAM CRNP (PRESIDENT)
(205) 952-9603
Entity
Organization
Contact information
Practice address
1911 MILITARY ST S, HAMILTON, AL 35570
(205) 952-9603
(205) 952-9661
Mailing address
PO BOX 2282, HAMILTON, AL 35570
(205) 952-9603
(205) 952-9661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1061751
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552982STI
—
AL
Enumeration date
03/29/2007
Last updated
11/10/2022
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