Individual
DR. TRACIE M BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 N MEMORIAL PKWY, STE.D, HUNTSVILLE, AL 35810-1077
(256) 859-0902
Mailing address
PO BOX 1777, NORMAL, AL 35762-1777
(256) 859-0902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5312
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009961335
—
AL
Enumeration date
04/07/2008
Last updated
04/07/2008
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