Individual
AUTUM CLARK COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 HILLCREST DR, RAINSVILLE, AL 35986-6060
(256) 677-5115
Mailing address
56 HILLCREST DR, RAINSVILLE, AL 35986-6060
(256) 677-5115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-170975
AL
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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