Johnetta Gail Stokes-Holloway, MD

Individual provider Active NPI Internal Medicine Physician · Montgomery, AL

NPI 1992817787 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992817787
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
4367 (AL)
Practice address
215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone
(334) 272-4670
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4367ALMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4367 AL Yes

Addresses

Primary practice location

215 Perry Hill Rd
Montgomery, AL 36109-3725

Mailing address

5553 Ash Grove Cir
Montgomery, AL 36116-1154
Phone (334) 430-0423

Other providers in Montgomery, AL

All providers in Montgomery, AL · Internal Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.