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Individual

MRS. HALEY PATRICK HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 RICE MINE ROAD, SUITE B, TUSCALOOSA, AL 35406
(205) 349-4200
Mailing address
11949 GLEN RIDGE BLVD, MOUNDVILLE, AL 35474-6356
(205) 799-7979

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-35504
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5381
CRNP RX NUMBER
AL
Enumeration date
02/29/2016
Last updated
11/02/2016
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