Individual
CHERYL A OUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8160 SEATON PL, MONTGOMERY, AL 36116-7204
(337) 272-1799
(334) 272-4876
Mailing address
8160 SEATON PL, MONTGOMERY, AL 36116-7204
(337) 272-1799
(334) 272-4876
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD.20950
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035596
—
AL
01
—
631214480
TAX ID
AL
Enumeration date
01/17/2007
Last updated
09/25/2014
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