Individual
DIANE EAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
1804 BRIARWOOD LN SE, CULLMAN, AL 35055-5411
(256) 347-4454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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