# CEDAR STREET MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Street Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780376970
- **Authorized official:** LORI A HENRY NP (OWNER)
- **Authorized official phone:** (256) 338-4059

## Contact information

- **Practice address:** 220 CEDAR ST NW, HARTSELLE, AL 35640-2404
- **Practice address phone:** (256) 773-2260
- **Mailing address:** 586 COUNTY ROAD 1329, VINEMONT, AL 35179-6885
- **Mailing address phone:** (256) 338-4059

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 05/24/2023