Individual
TINA SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7803
(205) 343-8029
Mailing address
12775 FRANK LARY RD, NORTHPORT, AL 35475-4713
(205) 339-6187
(205) 339-9535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-046361
AL
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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