Gordon R Blair in Cullman - Family

Gordon R Blair - NPI 1275633893

Gordon R Blair is a Family in Cullman, Alabama. Gordon R Blair practices all healthcare services and medical treatments related to Family. The NPI Number for Gordon R Blair is 1275633893. The last update date is 2008-04-18.

Gordon R Blair's current location address is 1701 Main Ave Sw, Cullman, Alabama. You can contact this provider via phone number 2567370880. The mailing address for Gordon R Blair is 1701 Main Ave Sw, Cullman, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon R Blair
Address 1701 Main Ave Sw, Cullman, Alabama
Phone Number 2567370880
Fax Number
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1275633893
Provider Enumeration Date 2006-09-24
Last Updated Date 2008-04-18

Provider Mailing Address Detail

Address 1701 Main Ave Sw
City Cullman
State Alabama (AL)
Post Code 350555299
Phone Number 2567370880
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 1046758
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1046758 AL LICENSE NUMBER

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FAQs about Gordon R Blair

What is the unique identifier code issued to Gordon R Blair by the Centers for Medicare & Medicaid Services?

The Gordon R Blair has been assigned the NPI (National Provider Identifier) 1275633893. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gordon R Blair is physically located?

The Gordon R Blair is situated at the following address: 1701 Main Ave Sw, Cullman, AL 350555299.

What is Gordon R Blair's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gordon R Blair is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

When did the Gordon R Blair receive its 1275633893?

The Gordon R Blair was issued its 1275633893 on 2006-09-24, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Gordon R Blair most recently updated or revised?

The information pertaining to Gordon R Blair, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-18.

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