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Organization

CULLMAN UROLOGY, P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DENISE GILLEY (OFFICE MANAGER)
(256) 739-2885
Entity
Organization

Contact information

Practice address
1848 PARKLAND DRIVE NE, CULLMAN, AL 35058
(256) 739-2885
(256) 739-2898
Mailing address
1848 PARKLAND DRIVE NE, CULLMAN, AL 35058
(256) 739-2885
(256) 739-2898

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529302990
AL
01
D472
BC-BS OF ALABAMA GROUP #
AL
Enumeration date
04/05/2006
Last updated
05/01/2013
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