Organization
CEDAR STREET MEDICAL ASSOCIATES
Active
Other names
Cedar Street Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A HENRY NP (OWNER)
(256) 338-4059
Entity
Organization
Contact information
Practice address
220 CEDAR ST NW, HARTSELLE, AL 35640-2404
(256) 773-2260
Mailing address
586 COUNTY ROAD 1329, VINEMONT, AL 35179-6885
(256) 338-4059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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