Provider Demographics
NPI:1154500262
Name:T. A. PRITCHARD, M.D., P.C.
Entity Type:Organization
Organization Name:T. A. PRITCHARD, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-246-0030
Mailing Address - Street 1:646 COX CREEK PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1176
Mailing Address - Country:US
Mailing Address - Phone:256-764-9994
Mailing Address - Fax:256-246-0035
Practice Address - Street 1:646 COX CREEK PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1176
Practice Address - Country:US
Practice Address - Phone:256-764-9994
Practice Address - Fax:256-246-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9036174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL340020160OtherRAILROAD MEDICARE
ALK796Medicare PIN