Individual
DR. ROGER CARLISLE SUTTLE JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 S 4TH ST, GADSDEN, AL 35901-5215
(256) 543-9393
(256) 546-8433
Mailing address
414 S 4TH ST, GADSDEN, AL 35901-5215
(256) 543-9393
(256) 546-8433
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD.3266
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6232
—
AL
Enumeration date
12/28/2010
Last updated
12/28/2010
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