Unknown Individual – Family Medicine Physician, NPI 1689601213
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Clark Street Northeast, Cullman, Cullman County, Alabama, 35055, United States
CULLMAN, AL 350551921
Phone: (256) 736-8875
Fax: (256) 739-0027
Type: Mailing
Eva Road, Eva, Benton County, West Tennessee, Tennessee, 38320, United States
EVA, AL 356217629
Phone: (256) 796-5260
Fax: (256) 796-4639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35055)
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