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Individual

ELIZABETH GRACE STORIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
2901 NORTHRIDGE RD, TUSCALOOSA, AL 35406-3665
(205) 886-3832
Mailing address
12458 TIMBERLANE RD, RALPH, AL 35480-9103
(205) 886-3832

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2847
AL

Other

Enumeration date
08/31/2022
Last updated
02/21/2024
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