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Joseph Hare Sugg JR.

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NPI Number Detailed Information

Provider Information:

Name: Joseph Hare Sugg JR.
Gender: M
Provider License Number If Given: 25880

NPI Information:

NPI: 1538154968
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 6/17/2019

Provider Business Mailing Address:

Address: 1750 W MAIN ST
Dothan, AL 36301
Phone Number: 3347931070
Fax Number: 3347935114

Provider Business Practice Location Address:

Address: 1750 W MAIN ST
Dothan, AL 36301
Phone Number: 3347931070
Fax Number: 3347935114

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: AL

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