NPI Profile for SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING in DOTHAN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Case Management |
251B00000X |
| NPI Number | 1487104998 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/07/2016 | |
| Last updated | 04/18/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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