Individual
SUMMER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
(256) 782-5526
Mailing address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
(256) 782-5526
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1860
AL
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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