Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | DO.1980 | AL |
N | 207V00000X | Obstetrician & Gynecologist | T-2904 | MS |
NPI | 1013390608 |
---|---|
Provider Name | Mrs. Emily Allen Mcinnis |
First Address | Sylacauga, AL 35150-2433 |
Second Address | Sylacauga, AL 35150-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04720264 | (05) | MS |