Individual
DR. JOLEEN WIENER GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
907 GRAND AVENUE SW, FORT PAYNE, AL 35967
(256) 845-0428
(256) 845-0469
Mailing address
907 GRAND AVENUE SW, FORT PAYNE, AL 35967
(256) 845-0428
(256) 845-0469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14962
AL
2083X0100X
Occupational Medicine Physician
Primary
00014962
AL
Other
Enumeration date
06/03/2006
Last updated
03/13/2025
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