Individual
MARTY MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 BLACKJACK RD, TRUSSVILLE, AL 35173-4184
(205) 527-1866
Mailing address
829 BLACKJACK RD, TRUSSVILLE, AL 35173-4184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-079248
AL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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