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Individual

VIRGINIA MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1722 PINE ST, MONTGOMERY, AL 36106-1103
(334) 293-8588
Mailing address
912 WILL LOGAN RD, OZARK, AL 36360-5188
(850) 209-1014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150182
AL

Other

Enumeration date
06/09/2019
Last updated
06/09/2019
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