Individual
MRS. DONNA MOULTRY DORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1038986
—
363A00000X
Physician Assistant
Primary
PA.1305
AL
Other
Enumeration date
10/23/2006
Last updated
08/07/2019
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