Organization
TUSCALOOSA SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LANGLEY PRIDGEN M.D. (PRESIDENT)
(205) 366-0696
Entity
Organization
Contact information
Practice address
1837 COMMONS NORTH DR, TUSCALOOSA, AL 35406-3700
(205) 366-0696
(205) 366-1451
Mailing address
1837 COMMONS NORTH DR, TUSCALOOSA, AL 35406-3700
(205) 366-0696
(205) 366-1451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22573
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881614329
—
AL
Enumeration date
07/20/2006
Last updated
01/18/2011
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