is a Specialist in Montgomery, Alabama. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1356452403. The last update date is .
's current location address is 2034 Chestnut St, Montgomery, Alabama. You can contact this provider via phone number 3342690212 and fax number 3342692144. The mailing address for is 2034 Chestnut St, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2034 Chestnut St, Montgomery, Alabama |
| Phone Number | 3342690212 |
| Fax Number | 3342692144 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356452403 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2034 Chestnut St |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361061111 |
| Phone Number | 3342690212 |
| Fax Number | 3342692144 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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