Organization
WEST ALABAMA AIDS OUTREACH
Active
Other names
Five Horizons Health Services - Starkville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAWTHORNE MS (CREDENTIALING COORDINATOR)
(205) 292-2428
Entity
Organization
Contact information
Practice address
900 STARK RD, STARKVILLE, MS 39759-3613
(205) 759-8470
Mailing address
2720 6TH ST, TUSCALOOSA, AL 35401-1731
(205) 759-8470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/03/2020
Last updated
12/02/2022
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