Organization
ALLEGRA WELLNESS OF TUSCALOOSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAWTHORNE (BILLING MANAGER)
(205) 292-2428
Entity
Organization
Contact information
Practice address
4804 HIGHWAY 69 N, NORTHPORT, AL 35473-2035
(205) 556-5634
Mailing address
PO BOX 440, COTTONDALE, AL 35453-0105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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