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Organization

CULLMAN PRIMARY CARE, PC

Active
Parent organization
CULLMAN PRIMARY CARE, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CULLMAN PRIMARY CARE, PC
Authorized official
MRS. CONNIE BLANKENSHIP (CREDENTIALING COORDINATOR)
(256) 739-0801
Entity
Organization

Contact information

Practice address
1800 AL HIGHWAY 157 STE 100, CULLMAN, AL 35058
(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
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117960
AL
Enumeration date
06/15/2010
Last updated
06/15/2023
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