Individual
NASSER PILOTIN SAMUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 489-4438
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1093
AL
207Q00000X
Family Medicine Physician
OT011895
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142098
—
AL
Enumeration date
08/06/2009
Last updated
06/14/2022
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