Individual
DR. THEODORE T TSALTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205
(205) 930-2456
(205) 930-2469
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 930-2456
(205) 930-2469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29140
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.36501
AL
207VX0000X
Obstetrics Physician
MD029140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3811261
—
TN
Enumeration date
07/22/2006
Last updated
05/29/2018
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