Provider Demographics
NPI:1730199571
Name:ANKROM-GILES, EVA FAYE
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:FAYE
Last Name:ANKROM-GILES
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 1:1361 ROTTERDAM CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-2021
Mailing Address - Country:US
Mailing Address - Phone:251-219-3916
Mailing Address - Fax:251-219-5952
Practice Address - Street 1:1504 SPRINGHILL AVENUE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604
Practice Address - Country:US
Practice Address - Phone:251-219-3916
Practice Address - Fax:251-219-3952
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist