Individual
DR. DIANNE HANEY MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1004 1ST ST N, SUITE 370, ALABASTER, AL 35007-8766
(205) 663-5547
(205) 663-5547
Mailing address
1004 1ST ST N, SUITE 370, ALABASTER, AL 35007-8766
(205) 663-5547
(205) 663-5547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00013731
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009997865
—
AL
01
—
4200986
AETNA PROVIDER NUMBER
AL
01
—
51526786
BCBS PROVIDER NUMBER
AL
Enumeration date
09/01/2006
Last updated
10/16/2012
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