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MRS. CASSIE COULTER INGRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
101 FITNESS WAY STE 2700, ATHENS, AL 35611-2495
(256) 233-9273
(256) 216-1920
Mailing address
101 FITNESS WAY STE 2700, ATHENS, AL 35611-2495
(256) 233-9273
(256) 216-1920

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-117675
AL

Other

Enumeration date
10/06/2011
Last updated
08/22/2024
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