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Organization
CULLMAN COUNTY MEDICAL CLINIC INC
Active
Organization
CULLMAN COUNTY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA JOCHUM HICE (DIRECTOR, PHYSICIAN PRACTICES)
(256) 736-5328
Entity
Organization
Contact information
Practice address
1910 CHEROKEE AVE SW, CULLMAN, AL 35055-5502
(256) 739-3500
(256) 736-1093
Mailing address
1910 CHEROKEE AVE. SW, CULLMAN, AL 35055
(256) 739-3500
(256) 775-6119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/27/2005
Last updated
08/04/2008
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