Individual
LEA FIKES MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 WINDY RDG, TUSCALOOSA, AL 35406-3676
(205) 344-9019
(205) 344-9031
Mailing address
2330 UNIVERSITY BLVD, SUITE 501, TUSCALOOSA, AL 35401-1599
(205) 344-9019
(205) 344-9031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-114205
AL
Other
Enumeration date
05/20/2013
Last updated
07/29/2013
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