Individual
MRS. KARRA PORTER AYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, P.A.-C
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(337) 208-2243
Mailing address
3740 64TH ST NE, TUSCALOOSA, AL 35406-1410
(337) 208-2243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200573
LA
Other
Enumeration date
10/22/2012
Last updated
07/31/2014
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