Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timara Keiana Stallworth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205466729

Timara Keiana Stallworth is a Student in an Organized Health Care Education/Training Program in Mobile, Alabama. Practices as a sole proprietor. Licensed in Alabama and Georgia.

Licensed in
AL, GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

814 Donald St
Mobile, AL 36617-2924
Phone: (404) 857-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PHI-020748 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence S12715 (AL)

Record details

NPI number1205466729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

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