Individual provider · Type 1 NPI

Timara Keiana Stallworth

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1205466729 Active

Practice location

814 Donald St
Mobile, AL 36617-2924

Call (404) 857-9880 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XS12715 (AL)
Student in an Organized Health Care Education/Training Program Primary 390200000XPHI-020748 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205466729

Timara Keiana Stallworth's National Provider Identifier is 1205466729, issued on Jan 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Jan 23, 2020.