Organization
FAMILY HEALTH OF HARTSELLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ERIC MASHBURN MD (OWNER)
(256) 773-9756
Entity
Organization
Contact information
Practice address
1006 HILL ST SW, HARTSELLE, AL 35640-2802
(256) 773-9756
(256) 773-9401
Mailing address
1006 HILL ST SW, HARTSELLE, AL 35640-2802
(256) 773-9756
(256) 773-9401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19376
AL
Other
Enumeration date
10/31/2006
Last updated
11/02/2007
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