Unknown Individual – Specialist, NPI 1669585576
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Vaughan Memorial Drive, Sunset Mill Village, Selma, Dallas County, Alabama, 36701, United States
SELMA, AL 367016950
Phone: (334) 875-2134
Fax: (334) 875-4331
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36701)
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