# CULLMAN REGIONAL MEDICAL CENTER PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CULLMAN REGIONAL MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518447622
- **Legal business name:** CULLMAN REGIONAL MEDICAL CENTER
- **Authorized official:** MRS. NESHA DONALDSON (CFO)
- **Authorized official phone:** (256) 737-2598

## Contact information

- **Practice address:** 1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
- **Practice address phone:** (256) 735-5041
- **Practice address fax:** (256) 737-2050
- **Mailing address:** P.O. BOX 1108, CULLMAN, AL 35056-1108
- **Mailing address phone:** (256) 737-2081
- **Mailing address fax:** (256) 737-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018