| Primary Care Ctr Of Tuscaloosa Llc | |
|
1000 Fairfax Park Tuscaloosa AL 35406-2806 | |
| (205) 366-9181 | |
| Not Available |
| Full Name | Primary Care Ctr Of Tuscaloosa Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1000 Fairfax Park, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Angela K Smelley (OWNER) |
| Authorized Official Contact | 2053669181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Ctr Of Tuscaloosa Llc 1000 Fairfax Park Tuscaloosa AL 35406-2806 Ph: (205) 366-9181 | Primary Care Ctr Of Tuscaloosa Llc 1000 Fairfax Park Tuscaloosa AL 35406-2806 Ph: (205) 366-9181 |
| NPI Number | 1093853434 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093853434 | NPI | - | NPPES |
| 51517558 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21061 (Alabama) | Primary |
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