Complete Health & Wellness Of Al, Inc | |
819 Mimosa Park Rd Suite C Tuscaloosa AL 35405-4839 | |
(205) 343-7743 | |
(205) 752-7513 |
Full Name | Complete Health & Wellness Of Al, Inc |
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Speciality | Family Medicine |
Location | 819 Mimosa Park Rd, Tuscaloosa, Alabama |
Authorized Official Name and Position | Brent Alan Tidwell (PRES) |
Authorized Official Contact | 2053437743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Complete Health & Wellness Of Al, Inc 819 Mimosa Park Road Suite C Tuscaloosa AL 35405 Ph: (205) 343-7743 | Complete Health & Wellness Of Al, Inc 819 Mimosa Park Rd Suite C Tuscaloosa AL 35405-4839 Ph: (205) 343-7743 |
NPI Number | 1649569963 |
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Provider Enumeration Date | 04/07/2011 |
Last Update Date | 04/11/2011 |
Identifier | Type | State | Issuer |
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1649569963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27746 (Alabama) | Primary |
363LF0000X | Nurse Practitioner - Family | 1-079816 (Alabama) | Secondary |
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