Organization
LITTLE TALLAPOOSA RIVER INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNA K BEHM (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
209 MAIN ST, WEDOWEE, AL 36278-7428
(469) 401-2386
Mailing address
13737 NOEL RD, 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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