NPI 1063827509

Petronella Parker

Practitioner Specialist Cullman, AL

Practice location

Address: 1909 Commerce Ave, Cullman, AL 35055-6151
Phone: (256) 734-4688

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1063827509
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2014
Record last updated: 24 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.