Individual
MS. SONYA LEE KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 DOTHAN RD, ABBEVILLE, AL 36103
(334) 369-9063
Mailing address
PO BOX 309, ARITON, AL 36311
(334) 369-9063
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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