Provider Demographics
NPI:1598414880
Name:INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-349-4200
Mailing Address - Street 1:100 RICE MINE RD N STE 100
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3905
Mailing Address - Country:US
Mailing Address - Phone:205-349-4200
Mailing Address - Fax:205-349-4285
Practice Address - Street 1:100 RICE MINE RD N STE 100
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-3905
Practice Address - Country:US
Practice Address - Phone:205-349-4200
Practice Address - Fax:205-349-4285
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty