Organization
NWMC LAMAR REGIONAL HEALTH CENTER RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SPANN (CEO)
(205) 698-7111
Entity
Organization
Contact information
Practice address
49494 HIGHWAY 17, SULLIGENT, AL 35586-4454
(205) 698-7111
(205) 698-0516
Mailing address
49494 HIGHWAY 17, SULLIGENT, AL 35586-4454
(205) 698-7111
(205) 698-0516
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-26945
BCBS OF ALABAMA PROV #
AL
Enumeration date
04/09/2007
Last updated
08/22/2020
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