Individual
KARION GRAY WAITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.N.P.
Contact information
Practice address
1717 6TH AVE S, SRC 157, BIRMINGHAM, AL 35294-0113
(205) 934-2785
(205) 975-4896
Mailing address
1720 2ND AVE S, SRC 157, BIRMINGHAM, AL 35294-0113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-054042
AL
Other
Enumeration date
04/25/2013
Last updated
02/01/2024
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