Individual
CAROLE ELIZABETH HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1806 FAIRVIEW AVE, DOTHAN, AL 36301-3026
(334) 677-5986
(334) 677-4901
Mailing address
PO BOX 578, DOTHAN, AL 36302-0578
(334) 677-5986
(334) 677-4901
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1056991
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51095620
BLUE CROSS
AL
05
—
569900135
—
AL
Enumeration date
05/18/2006
Last updated
08/26/2011
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