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Individual

REBECCA SOUTHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 VALLEY ST, GADSDEN, AL 35901-2440
(256) 439-6885
Mailing address
272 SPRING RD, OHATCHEE, AL 36271-9345
(256) 459-8255

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
128167
AL

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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