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Organization

A HEARTBEAT AWAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY SAMUEL CRNP (PRESIDENT)
(256) 333-1997
Entity
Organization

Contact information

Practice address
1416 6TH AVE SE, DECATUR, AL 35601-4247
(256) 333-1997
(256) 333-5007
Mailing address
1416 6TH AVE SE, DECATUR, AL 35601-4247
(256) 333-1997
(256) 333-5007

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
R009070220
AL

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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