Individual
CAROLINE FOGLEMAN MIKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
Mailing address
208 SHOALS POINT TRL, MADISON, AL 35757-6816
(205) 475-3016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-135557
AL
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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