NPI | 1841460375 |
---|---|
Doing Business As | GUNTERSVILLE FAMILY PRACTICE CLINIC |
Entity Type | Organization |
Authorized Contact | MARK CHRISTOPHER HANNON Office Manager 256-582-6377 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-066616) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-03-12 |