Organization
TOMBIGBEE HEALTHCARE AUTHORITY
Active
Other names
Two Rivers Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SUE GANDY (CREDENTIALING MANAGER)
(334) 287-2423
Entity
Organization
Contact information
Practice address
105 US HIGHWAY 80 E, STE 215, DEMOPOLIS, AL 36732-3605
(334) 287-2840
(334) 287-2846
Mailing address
105 US HIGHWAY 80 E, STE 215, DEMOPOLIS, AL 36732-3605
(334) 287-2840
(334) 287-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
12/11/2025
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