Organization
CROSSROADS FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TENNELL GARRETT CRNP (OWNER/PROVIDER)
(256) 443-3171
Entity
Organization
Contact information
Practice address
75 COUNTY ROAD 576, ROGERSVILLE, AL 35652
(256) 443-3171
Mailing address
75 COUNTY ROAD 576, ROGERSVILLE, AL 35652
(256) 443-3171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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