Provider Demographics
NPI:1346318474
Name:BELINDA MAPLES M.D., P.C.
Entity Type:Organization
Organization Name:BELINDA MAPLES M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:T
Authorized Official - Last Name:STUBBLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-232-0636
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20182207Q00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529917320Medicaid
AL529917320Medicaid