Organization
CROSEN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET S PORTER AO (OFFICE MANAGER/ AUTHORIZED OFFICIAL)
(256) 770-7197
Entity
Organization
Contact information
Practice address
1011 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 770-7197
(256) 405-4439
Mailing address
1011 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 770-7197
(256) 405-4439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554151
—
AL
05
—
1700811072
—
AL
Enumeration date
03/04/2014
Last updated
08/08/2022
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