Provider Demographics
NPI:1417698085
Name:GIMA, AERIAL A
Entity Type:Individual
Prefix:
First Name:AERIAL
Middle Name:A
Last Name:GIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MCCALEP-MCINTOSH HALL
Mailing Address - Street 2:ALABAMA AGRICULTURAL & MECHANICAL UNIVERSITY
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762
Mailing Address - Country:US
Mailing Address - Phone:334-728-8118
Mailing Address - Fax:
Practice Address - Street 1:107 MCCALEP-MCINTOSH HALL
Practice Address - Street 2:ALABAMA AGRICULTURAL & MECHANICAL UNIVERSITY
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:334-728-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker