| |
1241 Blount Ave Guntersville AL 35976-1831 | |
(256) 582-6377 | |
(256) 582-6376 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1241 Blount Ave, Guntersville, Alabama |
Authorized Official Name and Position | Mark C Hannon (OFFICE MANAGER) |
Authorized Official Contact | 2565826377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1241 Blount Ave Guntersville AL 35976-1831 Ph: (256) 582-6377 | 1241 Blount Ave Guntersville AL 35976-1831 Ph: (256) 582-6377 |
NPI Number | 1760499685 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760499685 | NPI | - | NPPES |
541003894 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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