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Individual

SUSAN GUIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
Mailing address
P O BOX 2153, DEPT 5075, BIRMINGHAM, AL 35287-0001
(205) 348-1770

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
207Q00000X
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51550498
AL
Enumeration date
06/21/2006
Last updated
07/08/2007
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