Organization
CROSSROADS FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TENNELL GARRETT CRNP (PROVIDER/OWNER)
(256) 443-3171
Entity
Organization
Contact information
Practice address
75 COUNTY ROAD 576, ROGERSVILLE, AL 35652
(256) 443-3171
Mailing address
75 COUNTY ROAD 576, ROGERSVILLE, AL 35652
(256) 443-3171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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