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Individual

BILLY JOE GOLDEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 296-2456
Mailing address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 296-2456

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-091623
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3267
RNP RX NUMBER
Enumeration date
02/08/2011
Last updated
01/09/2019
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