Provider Demographics
NPI:1699434621
Name:BILLUPS, INELL MICHELLE
Entity type:Individual
Prefix:
First Name:INELL
Middle Name:MICHELLE
Last Name:BILLUPS
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 1:4758 WOODMERE BLVD STE F152
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3075
Mailing Address - Country:US
Mailing Address - Phone:334-603-2189
Mailing Address - Fax:
Practice Address - Street 1:4758 WOODMERE BLVD STE F152
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3075
Practice Address - Country:US
Practice Address - Phone:334-603-2189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist