Individual
AVRA RATLIFF ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1216 SOMERVILLE RD SE, DECATUR, AL 35601-4335
(256) 340-0012
(254) 340-1408
Mailing address
117 COUNTY ROAD 1217, VINEMONT, AL 35179-8698
(256) 340-0012
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-118627
AL
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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