Individual
JOHNNIE POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
530 HORNADY DR, MONROEVILLE, AL 36460-8658
(251) 575-4837
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4837
(251) 575-9459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-053273
AL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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