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Douglass Vance
Military Health Care Provider in Scottsboro, Alabama
NPI 1497848063

Douglass Vance is a Military Health Care Provider based in Scottsboro, AL. Douglass Vance practices in Scottsboro, AL. The NPI Number for Douglass Vance is 1497848063 and holds a License No. NONE (Alabama).

The current practice location address for Douglass Vance is 264 Belle Dr, Scottsboro, AL and can be reached out via phone at 256-574-4802.

Location: 264 Belle Dr, Scottsboro, AL, 35769-3652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497848063
Provider Name
Douglass Vance
Credential
Provider Entity Type
Individual
Gender
Male
Address
264 Belle Dr, Scottsboro, AL, 35769-3652
Phone Number
256-574-4802
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
264 Belle Dr
City
Scottsboro
State
Alabama
Zip
35769-3652
Phone Number
256-574-4802
Fax Number
person
Provider Business Mailing Address Details
Address
264 Belle Dr
City
Scottsboro
State
Alabama
Zip
35769-3652
Phone Number
256-574-4802
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
NONE (Alabama)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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