Individual
CARLY OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 CAHABA RIVER BLVD, HOOVER, AL 35216-6832
(205) 270-1597
Mailing address
4400 CAHABA RIVER BLVD, HOOVER, AL 35216-6832
(205) 270-1597
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10632
AL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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