Individual
DR. ELLEN N SPREMULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 LEIGHTON AVE, SUITE 602, ANNISTON, AL 36207-5700
(256) 238-1011
(256) 238-4366
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
00011380
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232615
MEDICARE RAILROAD
AL
01
—
51083226
BLUE CROSS ID#
AL
05
—
529501680
—
AL
Enumeration date
05/25/2006
Last updated
02/19/2020
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