Individual
SAMANTHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 ROSS CLARK CIR BLDG SUITE100, DOTHAN, AL 36301-3001
(334) 794-1148
Mailing address
1118 ROSS CLARK CIRCLE, SUITE 100, DOTHAN, AL 36301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-195216
AL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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