Provider Demographics
NPI:1316546278
Name:TUSCALOOSA ORTHOPEDIC & JOINT INSTITUTE, LLC
Entity Type:Organization
Organization Name:TUSCALOOSA ORTHOPEDIC & JOINT INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-391-4440
Mailing Address - Street 1:526 14TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3434
Mailing Address - Country:US
Mailing Address - Phone:205-752-4434
Mailing Address - Fax:205-391-4441
Practice Address - Street 1:526 14TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3434
Practice Address - Country:US
Practice Address - Phone:205-752-4434
Practice Address - Fax:205-391-4441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TUSCALOOSA ORTHOPEDIC & JOINT INSTITUE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty