| Hometown Medical Group | |
|
1705 Main Ave Sw Ste B Cullman AL 35055-7207 | |
| (256) 996-6480 | |
| Not Available |
| Full Name | Hometown Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 Main Ave Sw Ste B, Cullman, Alabama |
| Authorized Official Name and Position | William R Turner (OWNER) |
| Authorized Official Contact | 2569966480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Medical Group 408 4th St Se Cullman AL 35055-3655 Ph: (256) 996-6480 | Hometown Medical Group 1705 Main Ave Sw Ste B Cullman AL 35055-7207 Ph: (256) 996-6480 |
| NPI Number | 1265158257 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 7911376926 |
|---|---|
| Medicare Enrollment ID | O20221214002322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265158257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | William Randall Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598291254 PECOS PAC ID: 5991136665 Enrollment ID: I20200513000489 |
| Provider Name | Leigha Weaver Lentini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740918606 PECOS PAC ID: 0143605832 Enrollment ID: I20220915003938 |
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