Individual
DENISE HOLTON NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
2800 ROSS CLARK CIR STE 1, DOTHAN, AL 36301-2039
(334) 793-2211
Mailing address
3739 JORDON AVE, COWARTS, AL 36321-5634
(334) 797-9273
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
00000000000000000368
AL
224900000X
Mastectomy Fitter
Primary
368
AL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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