Provider Demographics
NPI:1154445724
Name:MCCOOL-PEARSON, ANGELA R (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:MCCOOL-PEARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7540 CIPRIANO CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3029
Mailing Address - Country:US
Mailing Address - Phone:251-990-1985
Mailing Address - Fax:251-990-1986
Practice Address - Street 1:7540 CIPRIANO CT
Practice Address - Street 2:SUITE C
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3029
Practice Address - Country:US
Practice Address - Phone:251-990-1985
Practice Address - Fax:251-990-1986
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22429207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051517292OtherBCBS
AL1728667OtherFIRST HEALTH
AL22429OtherSTATE LICENSE
AL5346723OtherAETNA
AL1883376OtherUNITED HEALTH CARE
ALG92474OtherUPIN
AL631234221OtherTAX ID
AL1728667OtherFIRST HEALTH