| Tennessee Valley Life Center | |
|
219 Longwood Dr Sw Huntsville AL 35801-5243 | |
| (256) 265-6170 | |
| (256) 265-6173 |
| Full Name | Tennessee Valley Life Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 219 Longwood Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Scariya M Kumaramangalam (OWNER PRESIDENT) |
| Authorized Official Contact | 2562656170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Valley Life Center 219 Longwood Dr Sw Huntsville AL 35801-5243 Ph: (256) 265-6170 | Tennessee Valley Life Center 219 Longwood Dr Sw Huntsville AL 35801-5243 Ph: (256) 265-6170 |
| NPI Number | 1477612935 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 11/18/2009 |
| Medicare PECOS PAC ID | 6901867324 |
|---|---|
| Medicare Enrollment ID | O20041020000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477612935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Scariya M Kumaramangalam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417996372 PECOS PAC ID: 9234100363 Enrollment ID: I20040803000940 |
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