Individual
DR. TETYANA G. FALKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 S UNIVERSITY BLVD STE D, MOBILE, AL 36609-2949
(251) 432-4117
Mailing address
801 S UNIVERSITY BLVD STE D, MOBILE, AL 36609-2949
(251) 432-4117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30066
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100056760
—
KY
Enumeration date
04/23/2008
Last updated
03/18/2024
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