Individual
MRS. GRACE WATTS ASBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 RANDOLPH PL, MOUNTAIN BRK, AL 35223-1151
(601) 946-9450
Mailing address
1012 EDGEWOOD BLVD, HOMEWOOD, AL 35209-5344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-164572
AL
Other
Enumeration date
11/23/2020
Last updated
06/29/2023
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