# BSNR LLC. HARTSELLE VALLEY FAMILY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1336800028
- **Authorized official:** DR. BHAVNA GOWDA MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (256) 773-5469

## Contact information

- **Practice address:** 301 PINE ST NW STE B, HARTSELLE, AL 35640-2339
- **Practice address phone:** (256) 773-5469
- **Practice address fax:** (256) 773-5425
- **Mailing address:** 301 PINE ST NW STE B, HARTSELLE, AL 35640-2339
- **Mailing address phone:** (256) 773-5469
- **Mailing address fax:** (256) 773-5425

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 02/09/2022