Provider Demographics
NPI:1831118041
Name:TRANQUI, PHILIPPE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIPPE
Middle Name:
Last Name:TRANQUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 FITNESS WAY STE 2100
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2494
Mailing Address - Country:US
Mailing Address - Phone:256-262-6190
Mailing Address - Fax:256-262-6187
Practice Address - Street 1:101 FITNESS WAY STE 2100
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2494
Practice Address - Country:US
Practice Address - Phone:256-262-6190
Practice Address - Fax:256-262-6199
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00027329174400000X
AL27329208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist