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Individual

TAMARA ANN MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1410 AL HIGHWAY 144, OHATCHEE, AL 36271-7887
(256) 892-1241
(256) 892-3733
Mailing address
1410 AL HWY 144, OHATCHEE, AL 36271-7887
(256) 892-1241
(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
05
009939087
AL
01
51538228
BLUE CROSS
Enumeration date
09/25/2006
Last updated
12/21/2022
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