Individual
MRS. COLONIA PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 BAPTIST CAMPGROUND RD, NORTHPORT, AL 35473-8036
(205) 333-7695
(205) 339-7506
Mailing address
6901 BAPTIST CAMPGROUND RD, NORTHPORT, AL 35473-8036
(205) 333-7695
(205) 339-7506
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
AL
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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