Cullman Primary Care, PC

NPI #1164743068 in Cullman, Alabama

Provider Information

NPI Number
1164743068
Entity Type
Organization
Organization Name
Cullman Primary Care, PC
Subpart
Yes (part of a larger organization)
Parent Organization
CULLMAN PRIMARY CARE, PC
Primary Specialty
Family Medicine
Enumeration Date
Jun 15, 2010
Last Updated
Jun 15, 2023

Practice Location

Address
1800 AL HIGHWAY 157 STE 100
State
Alabama
ZIP Code
35058
Phone
(256) 739-4131

Authorized Official

Name
MRS. CONNIE BLANKENSHIP
Title
CREDENTIALING COORDINATOR
Phone
(256) 739-0801

Specialties & Taxonomy Codes

Specialty
Family Medicine

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