Organization
THIRD DAY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY B TUBBS DO (OWNER/DOCTOR)
(205) 608-8199
Entity
Organization
Contact information
Practice address
1701 MAIN AVE SW STE E, CULLMAN, AL 35055-5385
(256) 737-4100
(256) 737-4101
Mailing address
2215 DECATUR HWY STE 101, GARDENDALE, AL 35071-2384
(205) 608-8199
(205) 608-8130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176152
—
AL
Enumeration date
11/05/2020
Last updated
11/05/2020
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