Pentastar, LLC

NPI #1235365255 in Cullman, Alabama

Provider Information

NPI Number: 1235365255
Entity Type: Organization
Organization Name: Pentastar, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 4, 2009
Last Updated: Jun 4, 2009

Practice Location

Address: 101 2ND AVE SE
City: Cullman
State: Alabama
ZIP Code: 35055-3511
Phone: (256) 737-1793

Authorized Official

Name: DR. GREGORY LEE MEIMAN, M.D.
Title: PHYSICIAN/DIRECTOR
Phone: (256) 737-1793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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