Individual
MS. VIOLET CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Mailing address
2731 MLK JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
00004535
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51079659CHA
BLUE CROSS
AL
Enumeration date
03/05/2007
Last updated
07/08/2007
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