Tatum, Stacey Davis
Tatum, Stacey Davis is an individual health care provider with primary practice located at 701 Will Halsey Way , Madison AL 35758-2592. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tatum, Stacey Davis can be contacted via phone (256) 461-7440.Contact Information
Primary practice address
701 Will Halsey Way
Madison AL 35758-2592
Phone: (256) 461-7440
Fax: (256) 461-7168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD29320 | Alabama |
Profile Details
| NPI number | 1528261518 |
|---|---|
| LBN Legal business name | Tatum, Stacey Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Feb 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528261518 | NPPES |
| Alabama | MEDICAID | 630144587 | |
| Alabama | MEDICAID | 000118981 |
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