Individual
MRS. SUZANNE VENTRESS TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.1097
AL
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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