Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD30181 | AL |
N | 207VE0102X | Reproductive Endocrinologist | MD431274 | PA |
NPI | 1306915863 |
---|---|
Provider Name | Mrs. Janet Mclaren Bouknight |
First Address | Mountain Brk, AL 35223-5409 |
Second Address | Mountain Brk, AL 35223-5409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 12/09/2017 |