Provider Demographics
NPI:1972878577
Name:CULLMAN PEDIATRICS, INC.
Entity Type:Organization
Organization Name:CULLMAN PEDIATRICS, INC.
Other - Org Name:DOWNTOWN PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMBREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-775-2722
Mailing Address - Street 1:312 ARNOLD ST NE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2911
Mailing Address - Country:US
Mailing Address - Phone:256-775-2722
Mailing Address - Fax:256-775-2648
Practice Address - Street 1:312 ARNOLD ST NE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2911
Practice Address - Country:US
Practice Address - Phone:256-775-2722
Practice Address - Fax:256-775-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty