Individual
MRS. COURTNEY NIKOLE COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4300 W MAIN ST STE 405, DOTHAN, AL 36305-1086
(334) 944-7073
(334) 944-7058
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1032
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169345
—
AL
Enumeration date
09/11/2014
Last updated
11/23/2022
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