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Individual

MS. SUSAN MARIE CHEATWOOD II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
2018 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6898
(205) 877-2667
Mailing address
1371 HIGHWAY 468, VINCENT, AL 35178-6413
(205) 672-8712

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-042571
AL

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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