Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34720 | AL |
N | 111NI0900X | Internist | 34720 | AL |
N | 207RH0003X | Hematology & Oncology | 34720 | AL |
Y | 207RX0202X | Medical Oncology | 34720 | AL |
NPI | 1033537154 |
---|---|
Provider Name | Brittany Holley Case |
First Address | Daphne, AL 36526-9594 |
Second Address | Daphne, AL 36526-9594 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2014 |
Last Update Date | 26/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268713 | (05) | AL |
269025 | (05) | AL |
269363 | (05) | AL |
A12743A | MEDICARE # (01) | AL |
Q00099744 | RAILROAD MEDICARE (01) | AL |