Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 12592 | AL |
NPI | 1003861766 |
---|---|
Provider Name | Cindy S. Sheets |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-1512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 28/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00125125 | (05) | MS |
009976230 | (05) | AL |
009976250 | (05) | AL |
1051501 | (05) | LA |
12-00232 | UNITED HEALTHCARE (01) | AL |
263505400 | (05) | FL |
51506669 | BCBS (01) | AL |
51506670 | BCBS (01) | AL |
51509119 | BLUE CROSS (01) | AL |
C76856 | (02) |