# STEWART H TANKERSLEY, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093068900
- **Authorized official:** STEWART TANKERSLEY (MD)
- **Authorized official phone:** (334) 538-9695

## Contact information

- **Practice address:** 1758 PARK PL, SUITE 200, MONTGOMERY, AL 36106-1127
- **Practice address phone:** (334) 538-9695
- **Mailing address:** 2432 HAWTHORN DR, MONTGOMERY, AL 36111-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2012
- **Last updated:** 12/05/2012