Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | AL23915 | AL |
NPI | 1013901107 |
---|---|
Provider Name | Sharon L Callison |
First Address | Huntsville, AL 35801-3730 |
Second Address | Huntsville, AL 35801-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 05/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051502692 | (05) | AL |
H44265 | (02) | |
H44265 | (02) | AL |