Provider Demographics
NPI:1629331681
Name:TUSCALOOSA INTEGRATIVE FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:TUSCALOOSA INTEGRATIVE FAMILY MEDICINE, LLC
Other - Org Name:TUSCALOOSA INTEGRATIVE FAMILY MEDICINE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-887-2042
Mailing Address - Street 1:5710 WATERMELON RD STE 600
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-7696
Mailing Address - Country:US
Mailing Address - Phone:205-345-6272
Mailing Address - Fax:205-758-1493
Practice Address - Street 1:5710 WATERMELON RD STE 600
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-7696
Practice Address - Country:US
Practice Address - Phone:205-345-6272
Practice Address - Fax:205-345-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-24
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty