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Organization

TRICOUNTY TOTAL CARE

Active
Other names
Annie R. Tan, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
LISA JACKSON (BUSINESS OFFICE MANAGER)
(334) 265-7075
Entity
Organization

Contact information

Practice address
5300 OAK TREE RD, STE H, MILLBROOK, AL 36054-2218
(334) 285-8282
(334) 261-6113
Mailing address
5300 OAK TREE RD STE H, MILLBROOK, AL 36054-2219
(334) 285-8282
(334) 261-6113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21769
AL

Other

Enumeration date
07/13/2007
Last updated
07/13/2007
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