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Individual

ANGELA KIM SWEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 ANDERSON ROAD, DALEVILL, AL 36322
(334) 255-7387
Mailing address
302 E SOMMER OAK DR, ENTERPRISE, AL 36330-8562
(770) 905-0211

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123456
PRIVATE PRACTICE
AL
Enumeration date
03/28/2019
Last updated
03/28/2019
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