Organization
VIVIAN NELL HANNON
Active
Other names
Guntersville Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK C HANNON (OFFICE MANAGER)
(256) 582-6377
Entity
Organization
Contact information
Practice address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
(256) 582-6376
Mailing address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
(256) 582-6376
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541003894
—
AL
Enumeration date
08/02/2006
Last updated
01/31/2025
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