Organization
GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIR PROV ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 494-4000
(256) 494-4474
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-3334
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208M00000X
Hospitalist Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/05/2008
Last updated
03/13/2025
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