Organization
ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC
Active
Parent organization
ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABC ORTHOTICS & PROSTHETICS CULLMAN, LLC
Authorized official
ALEISHA MULLINS HARVEY CMF,CPOA (MANAGER)
(256) 775-6041
Entity
Organization
Contact information
Practice address
501 MAIN AVE SW, CULLMAN, AL 35055-4728
(256) 775-6041
(256) 775-6058
Mailing address
501 MAIN AVE SW, CULLMAN, AL 35055-4728
(256) 775-6041
(256) 775-6052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
15827
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052115
—
AL
Enumeration date
09/29/2010
Last updated
11/07/2013
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