Individual
DEBORAH BOOHER KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8371 HIGHWAY 72 W, SUITE 200, MADISON, AL 35758-9505
(256) 722-0664
(256) 722-0285
Mailing address
8371 HIGHWAY 72 W, SUITE 200, MADISON, AL 35758-9505
(256) 722-0664
(256) 722-0285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22818
AL
Other
Enumeration date
11/07/2005
Last updated
07/24/2007
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