Organization
TUSKALOOSA INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS B VAUGHN M.D. (PARTNER)
(205) 759-2582
Entity
Organization
Contact information
Practice address
1100 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2959
(205) 759-2582
(205) 759-2985
Mailing address
1100 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2959
(205) 759-2582
(205) 759-2985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528601940
—
AL
01
—
CC0235
RAILROAD MEDICARE
AL
Enumeration date
09/29/2006
Last updated
03/01/2013
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