Individual
MIR A NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
402 MEDICAL PARK DR, ATMORE, AL 36502-3004
(251) 368-7974
(251) 368-5973
Mailing address
402 MEDICAL PARK DR, ATMORE, AL 36502-3004
(251) 368-7974
(251) 368-5973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-543
AL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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