Organization
TENNESSEE VALLEY LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCARIYA M KUMARAMANGALAM MD (OWNER PRESIDENT)
(256) 265-6170
Entity
Organization
Contact information
Practice address
219 LONGWOOD DR SW, HUNTSVILLE, AL 35801-5243
(256) 265-6170
(256) 265-6173
Mailing address
219 LONGWOOD DR SW, HUNTSVILLE, AL 35801-5243
(256) 265-6170
(256) 265-6173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
11/18/2009
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