Individual
TOMMY DEWAYNE TROTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
(888) 977-1691
Mailing address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
(888) 977-1691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1143573
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-143573
ALABAMA NP/RN LICENSE
AL
Enumeration date
08/29/2019
Last updated
08/29/2019
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