Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | D.0006151.C1 | AL |
NPI | 1033512231 |
---|---|
Provider Name | Arealle E. Franklin |
First Address | Mobile, AL 36652-2867 |
Second Address | Mobile, AL 36612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2014 |
Last Update Date | 29/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011846 | MAIN GROUP MEDICARE PAYEE NUMBER (01) | AL |
1063439065 | MAIN GROUP NPI PAYEE NUMBER (01) | AL |
630000013 | (05) | AL |