Organization
MEDFUSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADISESHA REDDY MD (OWNER)
(205) 345-0010
Entity
Organization
Contact information
Practice address
120 RICE MINE ROAD N, TUSCALOOSA, AL 35406
(205) 345-0010
Mailing address
120 RICE MINE ROAD N, TUSCALOOSA, AL 35406
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
04/29/2019
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