Individual
CHRISTOPHER GRAY GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 593-8310
Mailing address
1045 COVE RD, SOUTHSIDE, AL 35907-0577
(256) 490-4272
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1-136456
AL
363LF0000X
Family Nurse Practitioner
Primary
1-136456
AL
Other
Enumeration date
12/18/2019
Last updated
01/05/2020
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