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Individual

MRS. COTY MICHELLE WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(205) 487-1111
(205) 487-1115
Mailing address
1860 US HIGHWAY 43, WINFIELD, AL 35594-5062
(205) 487-1111
(205) 487-1114

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-562

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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