Individual
MRS. DIANA PHELPS GOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 PREVATT RD, DOTHAN, AL 36301-5427
(334) 794-0731
Mailing address
2163 S BEVERLYE RD, DOTHAN, AL 36301-5907
(334) 671-4739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-042658
AL
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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