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Individual

MR. SAMUEL CONNER WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
84 CROPWELL DRIVE, PELL CITY, AL 35128-7366
(205) 606-4273
Mailing address
84 CROPWELL DRIVE, PELL CITY, AL 35128
(205) 813-2079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-175937
AL

Other

Enumeration date
03/24/2021
Last updated
05/09/2023
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