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Organization

FAMILY MEDICINE OF TUSCALOOSA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON AMMAN (MANAGER)
(205) 464-4971
Entity
Organization

Contact information

Practice address
100 TOWNCENTER BLVD, SUITE 300, TUSCALOOSA, AL 35406-1833
(205) 464-4971
(205) 343-7425
Mailing address
100 TOWNCENTER BLVD, SUITE 300, TUSCALOOSA, AL 35406-1833
(205) 464-4971
(205) 343-7425

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24343
AL

Other

Enumeration date
10/29/2010
Last updated
03/07/2012
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