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Individual

CAROL ANN MCINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 747-3317
Mailing address
151 HOOVER DR, WETUMPKA, AL 36093-2604
(334) 412-6104

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-163153
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-163153
AL

Other

Enumeration date
04/08/2021
Last updated
10/10/2022
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