Individual
LARRY C NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
103 E MEMORIAL AVE, OPP, AL 36467-1746
(334) 493-5555
(334) 493-0517
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-5555
(334) 493-0517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-195
AL
363AM0700X
Medical Physician Assistant
Primary
PA195
AL
Other
Enumeration date
08/11/2005
Last updated
02/05/2020
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