Great State 2019 Inc
Great State 2019 Inc is a Dermatology Physician in Tuscaloosa, Alabama. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4960 Rice Mine Rd NE Ste 30ATuscaloosa, AL 35406-3136
Phone: (205) 509-9055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1124757588 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Sparkman — Executive Director · (205) 509-9055 |
| Other names | Great State Alabama; Great State Rural Clinics |
| NPI enumerated | June 9, 2022 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | 4960 Rice Mine Rd Ne Ste 30a, Tuscaloosa, AL 35406-3136 |
Other providers in Tuscaloosa
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Robert Bentley, MD
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Robert J. Bentley LLC
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Robert J. Bentley LLC
4960 Rice Mine Rd NE Ste 40, Tuscaloosa, AL 35406-2671 · (205) 759-1519