Individual
TOMMY VIRGIL MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
16023 HIGHWAY 72, ROGERSVILLE, AL 35652-8141
(256) 247-0093
Mailing address
16023 HIGHWAY 72, ROGERSVILLE, AL 35652-8141
(256) 247-0093
(256) 247-7018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-134865
AL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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