Individual
STEPHEN GEORGE TYGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 WHITESPORT DRIVE, SUITE 1, HUNTSVILLE, AL 35801
(256) 881-4357
(256) 881-4389
Mailing address
165 WHITESPORT DRIVE, SUITE 1, HUNTSVILLE, AL 35801
(256) 881-4357
(256) 881-4389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10986
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
10986
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000080544
—
AL
05
—
528501500
—
AL
Enumeration date
08/12/2005
Last updated
12/21/2020
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