Organization
TENNESSEE VALLEY INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A PATELLIS MD (PHYSICIAN/OWNER)
(256) 509-4010
Entity
Organization
Contact information
Practice address
3809 SULLIVAN ST, SUITE 7, MADISON, AL 35758-2372
(256) 428-1096
(256) 428-1097
Mailing address
3809 SULLIVAN ST, SUITE 7, MADISON, AL 35758-2372
(256) 428-1096
(256) 428-1097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136258
—
AL
Enumeration date
12/28/2011
Last updated
04/18/2012
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