Individual
MR. PHILLIP WAYNE HORNBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
690 PINE MOUNTAIN RD, REMLAP, AL 35133-3622
(205) 681-0041
Mailing address
690 PINE MOUNTAIN RD, REMLAP, AL 35133-3622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-057025
AL
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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