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Individual

DR. CHARLENE DIONNE COLE-SUTTLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 533-8477
(256) 534-1580
Mailing address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 553-8477
(256) 534-1580

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32053
AL
207Q00000X
Family Medicine Physician
L.3495R
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163882
AL
Enumeration date
04/26/2011
Last updated
10/28/2020
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