CROSSROADS FAMILY CLINIC NPI 1063089985

NPI Information

CROSSROADS FAMILY CLINIC is a family nurse practitioner in Rogersville, AL. CROSSROADS FAMILY CLINIC NPI is 1063089985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 COUNTY ROAD 576
ROGERSVILLE, AL
ZIP 35652
Phone: (256) 443-3171

The provider's authorized official is Heather Tennell Garrett .
The authorized official title is Owner/provider and has the following contact phone number (256) 443-3171.

The CLIA number assigned to this NPI record is 01D2229082 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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