Individual
STANLEY GANT UNFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27961 US HIGHWAY 98 STE 14, DAPHNE, AL 36526-4725
(251) 626-1175
Mailing address
27961 US HIGHWAY 98 STE 14, DAPHNE, AL 36526-4725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L.5528R
AL
207QA0505X
Adult Medicine Physician
Primary
L.5528R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
06/25/2024
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