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NPI Number 1558635953

Practice Location

  • 241 Robert K Wilson Drive
    Carrolton, AL 35447
  • Phone: (205) 367-8111
  • Fax:

Business Location

  • 4109 Highway 98 W
    Summit, MS 39666
  • Phone:
  • Fax:

Other Information

  • Enumeration date: 03/02/2012
  • Last updat date: 03/02/2012
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 225200000X
  • License number: PTA5488
  • License number state code: AL
  • Primary taxonomy switch: Y

Practice Location Map


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NPI number 1558635953 is assigned to Beverly Lane Dexter. Beverly Lane Dexter is practice in Carrolton, AL 35447 with phone number . The number of page view of Beverly Lane Dexter is 30.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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