# PENTASTAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235365255
- **Authorized official:** DR. GREGORY LEE MEIMAN M.D. (PHYSICIAN/DIRECTOR)
- **Authorized official phone:** (256) 737-1793

## Contact information

- **Practice address:** 101 2ND AVE SE, CULLMAN, AL 35055-3511
- **Practice address phone:** (256) 737-1793
- **Practice address fax:** (256) 737-3765
- **Mailing address:** 101 2ND AVE SE, CULLMAN, AL 35055-3511
- **Mailing address phone:** (256) 737-1793
- **Mailing address fax:** (256) 737-3765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7112 | AL | Yes |

## Other

- **Enumeration date:** 06/04/2009
- **Last updated:** 06/04/2009