Organization
CULLMAN PROFESSIONAL RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS T MANSUETTA D.O. (OWNER)
(256) 931-2307
Entity
Organization
Contact information
Practice address
131 GOLFVIEW DR NE, ARAB, AL 35016-5473
(256) 931-2307
Mailing address
131 GOLFVIEW DR NE, ARAB, AL 35016-5473
(256) 931-2307
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO575
AL
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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