Individual
BRIAN TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 FIRST AVENUE, ECLECTIC, AL 36024
(334) 541-4425
Mailing address
52 MEADOWVIEW DR, WETUMPKA, AL 36092-4258
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
2400076
AL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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