Healthcare Provider Details

I. General information

NPI: 1578192571
Provider Name (Legal Business Name): WESLEY HOSKYNS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 AL HIGHWAY 157
CULLMAN AL
35058-0609
US

IV. Provider business mailing address

1800 AL HIGHWAY 157 STE 100
CULLMAN AL
35058-1273
US

V. Phone/Fax

Practice location:
  • Phone: 256-737-2000
  • Fax: 256-737-2152
Mailing address:
  • Phone: 256-735-5075
  • Fax: 256-735-5076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3369
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: