| Tuscaloosa Geriatrics, P.c. | |
|
4000 Carousel Cir Tuscaloosa AL 35406-2997 | |
| (205) 657-0711 | |
| Not Available |
| Full Name | Tuscaloosa Geriatrics, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Carousel Cir, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Regina Harrell (GERIATRICIAN) |
| Authorized Official Contact | 2056570711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuscaloosa Geriatrics, P.c. Po Box 20335 Tuscaloosa AL 35402-0335 Ph: (205) 657-0711 | Tuscaloosa Geriatrics, P.c. 4000 Carousel Cir Tuscaloosa AL 35406-2997 Ph: (205) 657-0711 |
| NPI Number | 1649687179 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/16/2014 |
| Medicare PECOS PAC ID | 2062631419 |
|---|---|
| Medicare Enrollment ID | O20140916002850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649687179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 27429 (Alabama) | Primary |
| Provider Name | Regina Barrett Harrell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578504114 PECOS PAC ID: 6406818830 Enrollment ID: I20070423000505 |
| Provider Name | Tiffany D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902288848 PECOS PAC ID: 1052626595 Enrollment ID: I20150813009553 |
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