Organization
FAMILY MEDICINE OF CULLMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED HENRY (MEMBER)
(256) 642-9821
Entity
Organization
Contact information
Practice address
1900 MAIN AVE SW, CULLMAN, AL 35055-7200
(256) 642-9821
Mailing address
1900 MAIN AVE SW, CULLMAN, AL 35055-7200
(256) 642-9821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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