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Organization

APP OF ALABAMA ED PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GRIMES (CFO)
(855) 246-8607
Entity
Organization

Contact information

Practice address
15155 HIGHWAY 43, RUSSELLVILLE, AL 35653
(256) 332-1611
(256) 331-4338
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
(615) 922-6723

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
03/19/2012
Last updated
02/17/2023
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