Organization
DR TAMARA MCINTOSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MCINTOSH M D (OWNER PHYSICIAN)
(256) 892-2121
Entity
Organization
Contact information
Practice address
1410 AL HIGHWAY 144, OHATCHEE, AL 36271-7887
(256) 892-2121
(256) 892-3733
Mailing address
1410 AL HWY 144, OHATCHEE, AL 36271-7887
(256) 892-2121
(256) 892-3733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20130
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51538228
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/06/2006
Last updated
04/20/2008
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