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Individual

NOLA JEAN ERNEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
526 BOLL WEEVIL CIR, ENTERPRISE PEDIATRIC CLINIC, ENTERPRISE, AL 36330-4012
(334) 308-1166
(334) 308-1019
Mailing address
126 CLINIC DR, DOTHAN PEDIATRIC CLINIC, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31586
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184547
AL
Enumeration date
04/11/2009
Last updated
06/01/2016
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