| Family Medicine Of Tuscaloosa, Llc | |
|
100 Towncenter Blvd Suite 300 Tuscaloosa AL 35406-1833 | |
| (205) 464-4971 | |
| (205) 343-7425 |
| Full Name | Family Medicine Of Tuscaloosa, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Towncenter Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Shannon Amman (MANAGER) |
| Authorized Official Contact | 2054644971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Tuscaloosa, Llc 100 Towncenter Blvd Suite 300 Tuscaloosa AL 35406-1833 Ph: (205) 464-4971 | Family Medicine Of Tuscaloosa, Llc 100 Towncenter Blvd Suite 300 Tuscaloosa AL 35406-1833 Ph: (205) 464-4971 |
| NPI Number | 1104126739 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 03/07/2012 |
| Medicare PECOS PAC ID | 7315124583 |
|---|---|
| Medicare Enrollment ID | O20110616000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104126739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24343 (Alabama) | Primary |
| Provider Name | Edwin D Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689635245 PECOS PAC ID: 6002802196 Enrollment ID: I20040423000295 |
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