Organization
TRICOUNTY TOTAL CARE
Active
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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