Individual
DR. SUZANNE HICKS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7484
(205) 750-5224
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7484
(205) 750-5224
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28000
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609969252
—
AL
Enumeration date
10/02/2006
Last updated
09/28/2010
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