Individual
SUSANNE ALICE MARIE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W MAIN ST STE 102, DOTHAN, AL 36305-1306
(334) 793-9564
Mailing address
903 WOODLEIGH RD, DOTHAN, AL 36305-6341
(334) 655-0037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-156884
AL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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