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Individual

MS. CARROLL BELINDA HOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
607 WILSON AVE, SUITE 1, EUTAW, AL 35462-1136
(205) 372-1260
(205) 372-1228
Mailing address
607 WILSON AVE, SUITE 1, EUTAW, AL 35462-1136
(205) 372-1260
(205) 372-1228

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1042894
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51546456
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/21/2007
Last updated
03/30/2011
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