| Vivian Nell Hannon | |
|
5447 Main Street Grant AL 35747-6211 | |
| (256) 728-2272 | |
| (256) 728-2282 |
| Full Name | Vivian Nell Hannon |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5447 Main Street, Grant, Alabama |
| Authorized Official Name and Position | Jessica H Gedling (OFFICE MANAGER) |
| Authorized Official Contact | 2565826377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Nell Hannon 1241 Blount Ave Nw Guntersville AL 35976 Ph: (256) 582-6377 | Vivian Nell Hannon 5447 Main Street Grant AL 35747-6211 Ph: (256) 728-2272 |
| NPI Number | 1760530497 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760530497 | NPI | - | NPPES |
| 541003911 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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