Provider Demographics
NPI:1689863938
Name:STELLA, FELICIA BETH I (MD)
Entity Type:Individual
Prefix:
First Name:FELICIA BETH
Middle Name:
Last Name:STELLA
Suffix:I
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 1:3715 DAUPHIN ST
Mailing Address - Street 2:MOB 2, SUITE 6F
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1771
Mailing Address - Country:US
Mailing Address - Phone:251-340-8314
Mailing Address - Fax:251-340-8319
Practice Address - Street 1:3715 DAUPHIN ST
Practice Address - Street 2:MOB 2, SUITE 6F
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1771
Practice Address - Country:US
Practice Address - Phone:251-340-8314
Practice Address - Fax:251-340-8319
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL17284207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF67357Medicare UPIN
AL000079444Medicare PIN