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Individual

DR. PRISCILLA BEVERLY DURAND-MITCHELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
706 E LAUREL ST, ATMORE, AL 36502-3114
(251) 368-5117
(251) 368-4021
Mailing address
PO BOX 650, ATMORE, AL 36504-0650
(251) 368-5117
(251) 368-4021

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025566
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051006738
BCBS
AL
05
051518278
AL
05
051559714
AL
Enumeration date
02/08/2006
Last updated
09/03/2010
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