Gregory P Stidham in Fayette - Family Medicine
Gregory P Stidham - NPI 1831183219
Gregory P Stidham is a Family Medicine in Fayette, Alabama. Gregory P Stidham practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory P Stidham is 1831183219. The last update date is 2013-02-18.
Gregory P Stidham's current location address is 110 23rd St Nw, Fayette, Alabama. You can contact this provider via phone number 2059323891 and fax number 2059323996. The mailing address for Gregory P Stidham is 110 23rd St Nw, Fayette, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory P Stidham |
|---|---|
| Address | 110 23rd St Nw, Fayette, Alabama |
| Phone Number | 2059323891 |
| Fax Number | 2059323996 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831183219 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 110 23rd St Nw |
|---|---|
| City | Fayette |
| State | Alabama (AL) |
| Post Code | 355551001 |
| Phone Number | 2059323891 |
| Fax Number | 2059323996 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21977 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9928080 | AL | -- | |
| 630936460 | AL | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory P Stidham by the Centers for Medicare & Medicaid Services?
The Gregory P Stidham has been assigned the NPI (National Provider Identifier) 1831183219. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gregory P Stidham?
The Gregory P Stidham is physically situated at 110 23Rd St Nw, in the city of Fayette, state of AL, with the postal code 355551001.
What is Gregory P Stidham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory P Stidham's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Gregory P Stidham receive the assignment of its 1831183219 from the Centers for Medicare & Medicaid Services?
The Gregory P Stidham was issued its 1831183219 by the Centers for Medicare & Medicaid Services on 2005-08-31.
When was the Gregory P Stidham's information last updated?
The Gregory P Stidham's information was last updated on 2013-02-18.