Organization
TUSCALOOSA BREAST CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE THOMAS M.D.. (PRESIDENT)
(205) 752-2501
Entity
Organization
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 606, TUSCALOOSA, AL 35401-2086
(205) 752-2501
(205) 759-2868
Mailing address
701 UNIVERSITY BLVD E, SUITE 606, TUSCALOOSA, AL 35401-2086
(205) 752-2501
(205) 759-2868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000036823
—
AL
Enumeration date
11/02/2012
Last updated
11/02/2012
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