# VIVIAN NELL HANNON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant Family Practice Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316344906
- **Authorized official:** MRS. VIVIAN NELL HANNON CRNP (OWNER/CRNP)
- **Authorized official phone:** (256) 582-6377

## Contact information

- **Practice address:** 1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
- **Practice address phone:** (256) 582-6377
- **Practice address fax:** (256) 582-6376
- **Mailing address:** 5447 MAIN STREET, GRANT, AL 35747-6211
- **Mailing address phone:** (256) 728-2272
- **Mailing address fax:** (256) 728-2282

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 11/25/2014