FAMILY MEDICINE OF TUSCALOOSA LLC NPI 1104126739

NPI Information

  • NPI: 1104126739
  • Provider Name: FAMILY MEDICINE OF TUSCALOOSA, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 01D2018405
  • Address: 100 TOWNCENTER BLVD
    SUITE 300
    TUSCALOOSA, AL
    ZIP 35406
  • Phone: (205) 464-4971

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NPI Details

FAMILY MEDICINE OF TUSCALOOSA, LLC is a family medicine in Tuscaloosa, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE OF TUSCALOOSA, LLC NPI is 1104126739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 TOWNCENTER BLVD
SUITE 300
TUSCALOOSA, AL
ZIP 35406-833
Phone: (205) 464-4971
Fax: (205) 343-7425

The provider's authorized official is Shannon Amman .
The authorized official title is Manager and has the following contact phone number (205) 464-4971.

The CLIA number assigned to this NPI record is 01D2018405 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 3/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine24343ALABAMAYes

What is NPI?

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This page was last updated on: 11/21/2025

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