Provider Demographics
NPI:1801380167
Name:TENNESSEE VALLEY TOTAL WOMEN'S CARE, INC.
Entity type:Organization
Organization Name:TENNESSEE VALLEY TOTAL WOMEN'S CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-265-6512
Mailing Address - Street 1:110 WILLIAMS AND BROAD DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-9312
Mailing Address - Country:US
Mailing Address - Phone:256-265-6512
Mailing Address - Fax:256-265-6727
Practice Address - Street 1:910 ADAMS ST SE STE 210
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-265-6512
Practice Address - Fax:256-265-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty