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1104126739
FAMILY MEDICINE OF TUSCALOOSA, LLC
TUSCALOOSA, AL
NPI
1104126739
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Entity Type
Organization
Authorized Contact
SHANNON AMMAN
Manager
205-464-4971
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 24343)
Enumeration Date
2010-10-29
Last Update Date
2012-03-07
Business Address
FAMILY MEDICINE OF TUSCALOOSA, LLC
100 TOWNCENTER BLVD SUITE 300
TUSCALOOSA, AL 35406-1833
Phone number: 205-464-4971
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Mailing Address
FAMILY MEDICINE OF TUSCALOOSA, LLC
100 TOWNCENTER BLVD SUITE 300
TUSCALOOSA, AL 35406-1833
Phone number: 205-464-4971
Copy
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