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Individual

TARA ANN KELLY MATTOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
8000 US HWY 69, GUNTERSVILLE, AL 35976
(256) 571-8000
(256) 571-8046
Mailing address
308 JUBILEE CIR SE, HUNTSVILLE, AL 35803-3067
(256) 571-8000
(256) 571-8046

Taxonomy

Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
1-108223
AL

Other

Enumeration date
01/07/2026
Last updated
01/07/2026
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