Individual
DR. BEVERLY A STOUDEMIRE-HOWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Mailing address
PO BOX 241587, MONTGOMERY, AL 36124-1587
(334) 280-1500
(334) 280-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00012313
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051520174
BLUE SHIELD PROVIDER #
AL
01
—
12313
AL MEDICAL LICENSE
AL
05
—
79005
—
AL
Enumeration date
01/30/2006
Last updated
03/07/2023
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