Individual
MACKENZIE THOMAS LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
815 LEE ST, ALEXANDER CITY, AL 35010-2882
(256) 212-9300
(256) 212-9363
Mailing address
815 LEE ST, ALEXANDER CITY, AL 35010-2882
(256) 212-9300
(256) 212-9363
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1-100396
AL
363LF0000X
Family Nurse Practitioner
1-100396
AL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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