| |
1241 Blount Ave Guntersville AL 35976-1831 | |
(256) 582-6377 | |
(256) 582-6376 |
Full Name | |
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Speciality | Family Medicine |
Location | 1241 Blount Ave, Guntersville, Alabama |
Authorized Official Name and Position | Vivian Nell Hannon (OWNER/CRNP) |
Authorized Official Contact | 2565826377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5447 Main Street Grant AL 35747-6211 Ph: (256) 728-2272 | 1241 Blount Ave Guntersville AL 35976-1831 Ph: (256) 582-6377 |
NPI Number | 1316344906 |
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Provider Enumeration Date | 11/25/2014 |
Last Update Date | 11/25/2014 |
Identifier | Type | State | Issuer |
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1316344906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Alabama) | Primary |
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