Individual
MS. LOUISA M TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
470 TAYLOR RD STE 310, MONTGOMERY, AL 36117-7130
(334) 747-4322
(334) 747-4321
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20286
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770583296
NPI
AL
05
—
201935
—
AL
01
—
511-94653
BCBS OF ALABAMA
AL
01
—
G1139
VIVA HEALTH
AL
Enumeration date
07/27/2005
Last updated
01/05/2023
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