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Individual

SOWETA FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 272-4670
Mailing address
3351 N LUMPKIN RD APT 3303, COLUMBUS, GA 31903-1471
(706) 332-2154

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3747A0650X
AL
Enumeration date
09/29/2019
Last updated
09/29/2019
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