Individual
MRS. NATALIE CLARK GOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CPN
Contact information
Practice address
322 HALIFAX DR, DOTHAN, AL 36305-3145
(205) 222-2620
Mailing address
322 HALIFAX DR, DOTHAN, AL 36305-3145
(205) 222-2620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-107796
AL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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