TREVOR LEE TATUM

BIRMINGHAM, AL
NPI1710639356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AL  1909)
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
TREVOR LEE TATUM
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
TREVOR LEE TATUM
525 WILD RIDGE CIR
PELHAM, AL 35124-2528
Phone number: 706-594-8563
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