Individual
DR. MARK K ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 AL HIGHWAY 157 STE 101, CULLMAN, AL 35058-1273
(256) 739-4131
(256) 739-6027
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-0801
(256) 739-0027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13608
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087230
—
AL
Enumeration date
11/16/2005
Last updated
12/22/2020
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