Organization
THE PINK ALTERNATIVE LLC
Active
Other names
The Pink Alternative LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE HOLTON NEWBY CFM (CERTIFIED FITTER MASTECTOMY)
(334) 446-3337
Entity
Organization
Contact information
Practice address
3000 HARTFORD HWY STE 1, DOTHAN, AL 36305-4906
(334) 446-3337
(334) 446-3698
Mailing address
3000 HARTFORD HWY STE 1, DOTHAN, AL 36305-4906
(334) 446-3337
(334) 446-3698
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
368
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992217285
—
AL
Enumeration date
05/02/2018
Last updated
03/02/2020
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