Dermatology
GREAT STATE 2019 INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124757588 · enumerated 2022-06-09 · record updated 2022-06-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DANIEL SPARKMAN, Executive Director · (205) 509-9055
Other names: GREAT STATE RURAL CLINICS, GREAT STATE ALABAMA
Addresses and phones
- Mailing address 4960 RICE MINE RD NE STE 30A, TUSCALOOSA, AL, 35406-3136 (205) 509-9055 Google Maps Apple Maps OpenStreetMap
- Practice location 4960 RICE MINE RD NE STE 30A, TUSCALOOSA, AL, 35406-3136 (205) 509-9055 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
Published links
In this directory
Locations and evidence
-
Practice location
TUSCALOOSA, AL, 354063136
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.