Provider Demographics
NPI:1245223684
Name:MAPLES, BELINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:MAPLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 FITNESS WAY
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2492
Mailing Address - Country:US
Mailing Address - Phone:256-232-0636
Mailing Address - Fax:256-232-1058
Practice Address - Street 1:101 FITNESS WAY
Practice Address - Street 2:SUITE 1200
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2492
Practice Address - Country:US
Practice Address - Phone:256-232-0636
Practice Address - Fax:256-232-1058
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20182207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933505Medicaid
AL1890887OtherFIRST HEALTH
AL51517535OtherBLUE CROSS BLUE SHIELD
AL5080738OtherAETNA
AL51517535OtherBLUE CROSS BLUE SHIELD
AL05157535Medicare PIN