Individual
GARY GLENN VARNEDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
20 JONATHAN LN, TALLADEGA, AL 35160-3943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-126015
AL
163WC0400X
Case Management Registered Nurse
Primary
1-126015
AL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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