JODY RUSSELL NEAL

DOTHAN, AL
NPI1669436697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1068484)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN161608)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
-- JODY RUSSELL NEAL CRNA
4370 W MAIN ST
DOTHAN, AL 36305
Phone number: 334-793-5000
Mailing Address
-- JODY RUSSELL NEAL CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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