Individual
MARY LEONA WALCH PIPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 PROFESSIONAL LN, ENTERPRISE, AL 36330-2085
(334) 347-3404
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34257
AL
Other
Enumeration date
04/23/2012
Last updated
08/29/2016
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