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Organization

WATCHMAN'S HEALTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALICIA LEE HAMMAN (CRNP)
(256) 350-6182
Entity
Organization

Contact information

Practice address
1530 WOLVERINE DR SE STE D, DECATUR, AL 35601-4950
(256) 350-6182
(256) 350-6184
Mailing address
1530 WOLVERINE DR SE STE D, DECATUR, AL 35601-4950
(256) 350-6182
(256) 350-6184

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568012755
GROUP NPI
AL
01
2609
PTAN
AL
Enumeration date
09/19/2019
Last updated
09/20/2024
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