Individual
DR. TAMMY P THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1055
SC
152W00000X
Optometrist
2203
OK
152W00000X
Optometrist
Primary
T174TA519
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009931090
—
AL
Enumeration date
04/25/2006
Last updated
12/03/2012
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