Individual
JOHN A WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 E WATTS ST, ENTERPRISE, AL 36330-1812
(334) 393-5474
(334) 393-7433
Mailing address
PO BOX 2726, BIRMINGHAM, AL 35202-2726
(205) 322-1808
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-053420
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51526586
BLUE SHIELD
AL
01
—
P00291950
PALMETTO GBA
—
Enumeration date
05/11/2006
Last updated
07/08/2007
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