AUSTIN WYATT BIVINS

DOTHAN, AL
NPI1720646102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-151891)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
AUSTIN WYATT BIVINS CRNP
4370 W MAIN ST
DOTHAN, AL 36305-4000
Phone number: 334-793-5000
Mailing Address
AUSTIN WYATT BIVINS CRNP
413 BURT DR APT 7
DOTHAN, AL 36305-1161
Phone number: 317-735-5567
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