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Individual

MR. CHIN PANG SIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
7201 HAPPY HOLLOW ROAD, SUITE 102, TRUSSVILLE, AL 35173
(205) 508-6235
(205) 508-6237
Mailing address
7201 HAPPY HOLLOW ROAD, SUITE 102, TRUSSVILLE, AL 35173
(205) 508-6235
(205) 508-6237

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-125274
AL
363LA2100X
Acute Care Nurse Practitioner
1-125274
AL
363LA2200X
Adult Health Nurse Practitioner
1-125274
AL
363LG0600X
Gerontology Nurse Practitioner
1-125274
AL

Other

Enumeration date
12/05/2017
Last updated
01/17/2018
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