PROVISION 2, LLC

CULLMAN, AL
NPI1366119802
Entity TypeOrganization
Authorized ContactROBERT WAYNE SMITH
Owner
256-339-9979
Organization Subpart ?No
Primary Taxonomy2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry
Additional Taxonomies207P00000X Emergency Medicine
207Q00000X Family Medicine
207QA0401X Family Medicine Addiction Medicine
207QA0505X Family Medicine Adult Medicine
207QG0300X Family Medicine Geriatric Medicine
2084P0800X Psychiatry & Neurology Psychiatry
2084P0802X Psychiatry & Neurology Addiction Psychiatry
2084P0805X Psychiatry & Neurology Geriatric Psychiatry
Enumeration Date2021-08-24
Last Update Date2025-01-17
Business Address
PROVISION 2, LLC
210 MAIN AVE SW
CULLMAN, AL 35055-3346
Phone number: 256-339-9979
Mailing Address
PROVISION 2, LLC
340 COUNTY ROAD 1635
CULLMAN, AL 35058
Phone number: