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Individual

DR. HALEIGH STIDHAM BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3145 GREEN VALLEY RD, VESTAVIA, AL 35243-5256
(205) 835-9800
Mailing address
3145 GREEN VALLEY RD, VESTAVIA, AL 35243-5256
(205) 835-9800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5852
AL

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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