Individual
SUSAN RAINER CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-8186
Mailing address
206 ANDRA ST, MADISON, AL 35758-2206
(256) 797-0782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-10013
AL
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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