Individual
MRS. MARTINA TAMARA WILLIS-MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 7TH AVE S, ACC BLDG SUITE 422, BIRMINGHAM, AL 35233-1711
(205) 939-5900
(205) 939-5920
Mailing address
1600 7TH AVE S, ACC BLDG SUITE 422, BIRMINGHAM, AL 35233-1711
(205) 939-5900
(205) 939-5920
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1-106592
AL
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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