Provider Demographics
NPI:1164401121
Name:TRAFFANSTEDT, FRANCES DARLENE HARRISON (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES DARLENE
Middle Name:HARRISON
Last Name:TRAFFANSTEDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:F DARLENE
Other - Middle Name:HARRISON
Other - Last Name:TRAFFANSTEDT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1400 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1502
Mailing Address - Country:US
Mailing Address - Phone:205-933-9110
Mailing Address - Fax:
Practice Address - Street 1:1400 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1502
Practice Address - Country:US
Practice Address - Phone:205-933-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941414Medicaid
AL051539289OtherBLUE CROSS
AL051558134Medicare ID - Type Unspecified
AL009941414Medicaid