Organization
STEWART H TANKERSLEY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART TANKERSLEY (MD)
(334) 538-9695
Entity
Organization
Contact information
Practice address
1758 PARK PL, SUITE 200, MONTGOMERY, AL 36106-1127
(334) 538-9695
Mailing address
2432 HAWTHORN DR, MONTGOMERY, AL 36111-1617
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
12/05/2012
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