Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | LNO4865 | AL |
N | 204E00000X | Oral & Maxillofacial Surgeon | 00020694 | AL |
NPI | 1306802665 |
---|---|
Provider Name | Dr. Christopher Baylis Nester |
First Address | Sheffield, AL 35660-1729 |
Second Address | Sheffield, AL 35660-1729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G59009 | (02) | AL |