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Organization
TUSCALOOSA PRIMARY CARE, LLC
Active
Organization
TUSCALOOSA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUSTIN SHEPPARD MD (OWNER/PHYSICIAN)
(205) 710-3383
Entity
Organization
Contact information
Practice address
100 TOWNCENTER BLVD STE 300, TUSCALOOSA, AL 35406-1835
(205) 710-3838
(205) 710-3839
Mailing address
100 TOWNCENTER BLVD STE 300, TUSCALOOSA, AL 35406-1835
(205) 710-3838
(205) 710-3839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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