Organization
VIVIAN NELL HANNON
Active
Other names
Grant Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN NELL HANNON CRNP (OWNER/CRNP)
(256) 582-6377
Entity
Organization
Contact information
Practice address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
(256) 582-6376
Mailing address
5447 MAIN STREET, GRANT, AL 35747-6211
(256) 728-2272
(256) 728-2282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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