Individual
ANNA GULLY LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3686 GRANDVIEW PKWY STE 300, BIRMINGHAM, AL 35243-3404
(205) 536-7676
Mailing address
3686 GRANDVIEW PKWY STE 300, BIRMINGHAM, AL 35243-3404
(205) 536-7676
(205) 939-4477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1148956
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-148956
AL
Other
Enumeration date
01/31/2018
Last updated
09/15/2020
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