Northeast Alabama Vascular And Vein Specialist
in Albertville, AL. Organization (NPI-2).
NPI number1164083218
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1164083218
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Alabama Vascular And Vein Specialist
- Organization subpart
- Yes
- Enumeration date
- Jun 27, 2019
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
11491 Us Highway 431Albertville, AL 35950-0136
Phone 256-894-6800 · Fax 256-894-6808
Mailing address
227 Brittany RdGuntersville, AL 35976-5766
Phone 256-894-6800 · Fax 256-894-6808
Authorized official
Taylor Walker
Cfo
2568946600
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