Individual
TAMARA DUDLEY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 BISCAYNE HILLS DR, NORTHPORT, AL 35473-2437
(205) 292-8555
Mailing address
3802 BISCAYNE HILLS DR, NORTHPORT, AL 35473-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-118454
AL
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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