Organization
VIVIAN N HANNON
Active
Other names
Brindlee Mtn Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHRISTOPHER HANNON (OFFICE MANAGER)
(256) 498-5770
Entity
Organization
Contact information
Practice address
4258 HIGHWAY 231, LACEYS SPRING, AL 35754-6448
(256) 498-5770
Mailing address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-057030
AL
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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