Individual
RALEIGH MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WILDWOOD CT APT 235, BIRMINGHAM, AL 35209-2800
(912) 682-3718
Mailing address
100 WILDWOOD CT APT 235, BIRMINGHAM, AL 35209-2800
(912) 682-3718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN292135
GA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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