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Organization

TENNESSEE VALLEY CARDIOVASCULAR CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY VARIE HADDOCK (CREDENTIALS SPECIALIST)
(256) 766-2118
Entity
Organization

Contact information

Practice address
1120 S JACKSON HWY, SUITE 302, SHEFFIELD, AL 35660-5777
(256) 383-8066
(256) 383-8727
Mailing address
1120 S JACKSON HWY, SUITE 302, SHEFFIELD, AL 35660-5777
(256) 383-8066
(256) 383-8727

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23786
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529202460
AL
Enumeration date
10/30/2006
Last updated
04/29/2008
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