# TUSCALOOSA MEDCENTER SOUTH, LLC

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

## Provider details

- **NPI number:** 1689689481
- **Authorized official:** BETH KOHN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (912) 756-2273

## Contact information

- **Practice address:** 5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
- **Practice address phone:** (205) 343-2225
- **Practice address fax:** (205) 343-2230
- **Mailing address:** 5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
- **Mailing address phone:** (205) 343-2225
- **Mailing address fax:** (205) 343-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 01/23/2026