Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25741 | AL |
NPI | 1144499823 |
---|---|
Provider Name | Mary Dell Railey |
First Address | Huntsville, AL 35801-6403 |
Second Address | Huntsville, AL 35801-6403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2008 |
Last Update Date | 11/03/2010 |