Organization
PENTASTAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LEE MEIMAN M.D. (PHYSICIAN/DIRECTOR)
(256) 737-1793
Entity
Organization
Contact information
Practice address
101 2ND AVE SE, CULLMAN, AL 35055-3511
(256) 737-1793
(256) 737-3765
Mailing address
101 2ND AVE SE, CULLMAN, AL 35055-3511
(256) 737-1793
(256) 737-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7112
AL
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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