# FAMILY MEDICINE OF TUSCALOOSA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104126739
- **Authorized official:** SHANNON AMMAN (MANAGER)
- **Authorized official phone:** (205) 464-4971

## Contact information

- **Practice address:** 100 TOWNCENTER BLVD, SUITE 300, TUSCALOOSA, AL 35406-1833
- **Practice address phone:** (205) 464-4971
- **Practice address fax:** (205) 343-7425
- **Mailing address:** 100 TOWNCENTER BLVD, SUITE 300, TUSCALOOSA, AL 35406-1833
- **Mailing address phone:** (205) 464-4971
- **Mailing address fax:** (205) 343-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24343 | AL | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 03/07/2012