Provider Demographics
NPI:1427318211
Name:HALLFORD, EMILIE O'BRIEN WHITE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:O'BRIEN WHITE
Last Name:HALLFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 850489
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-0489
Mailing Address - Country:US
Mailing Address - Phone:251-342-3949
Mailing Address - Fax:251-631-3361
Practice Address - Street 1:610 PROVIDENCE PARK DR E STE 101
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4618
Practice Address - Country:US
Practice Address - Phone:251-378-3900
Practice Address - Fax:251-378-3901
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL33132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine