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Individual

ALEXANDRIA GRACE LEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
122 MEDICAL CIR, MOULTON, AL 35650-1221
(256) 410-3544
Mailing address
122 MEDICAL CIR, MOULTON, AL 35650-1221
(256) 410-3544

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1-185023
AL
363LF0000X
Family Nurse Practitioner
Primary
1-185023
AL

Other

Enumeration date
12/16/2024
Last updated
01/15/2025
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