GREAT STATE 2019 INC
NPI 1124757588
Dermatology in Tuscaloosa, AL
About Great State 2019 Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT STATE 2019 INC (NPI 1124757588), doing business as Great State Alabama, is a healthcare organization registered as a dermatology in Tuscaloosa, Alabama and active in the NPI registry since June 2022. The organization lists Daniel Sparkman, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Great State 2019 Inc's NPI number?
The NPI number for Great State 2019 Inc is 1124757588. It was assigned to this organization in the NPPES registry on June 9, 2022. The provider is doing business as Great State Alabama and Great State Rural Clinics.
Where is Great State 2019 Inc located?
Great State 2019 Inc is located at 4960 Rice Mine Rd NE Ste 30A, Tuscaloosa, AL 35406. The listed phone number is (205) 509-9055.
What is Great State 2019 Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Great State 2019 Inc was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.