DOUGLASS VANCE

SCOTTSBORO, AL
NPI1497848063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: AL  none)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- DOUGLASS VANCE
264 BELLE DR
SCOTTSBORO, AL 35769-3652
Phone number: 256-574-4802
Mailing Address
-- DOUGLASS VANCE
264 BELLE DR
SCOTTSBORO, AL 35769-3652
Phone number: 256-574-4802