Organization
NORTHSIDE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FALLS CRNP (OWNER/PROVIDER)
(205) 349-9444
Entity
Organization
Contact information
Practice address
19570 GORGAS RD, NORTHPORT, AL 35475-1912
(205) 349-9444
Mailing address
19570 GORGAS RD, NORTHPORT, AL 35475-1912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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