Individual
ALLY PRITCHETT MIZERANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 345-7755
Mailing address
236 RALEIGH AVE, BIRMINGHAM, AL 35209-6549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006919-C1
AL
Other
Enumeration date
03/30/2021
Last updated
11/05/2024
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