Individual
MARY COLVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1019
AL
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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