Tennessee Valley Internal Medicine, Pc

LBN: Tennessee Valley Internal Medicine, Pc
Tennessee Valley Internal Medicine, Pc is an health care organization with primary practice located at 3809 Sullivan St Suite 7, Madison AL 35758-2372. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tennessee Valley Internal Medicine, Pc can be contacted via phone (256) 428-1096, or through Patellis, Nicholas A via phone (256) 509-4010.

Contact Information

Primary practice address
3809 Sullivan St Suite 7 Madison AL 35758-2372
Phone: (256) 428-1096
Fax: (256) 428-1097
Website:
Map and Directions
Authorized official contact:
Name: Patellis, Nicholas A Doctor of Medicine (MD)
Phone: (256) 509-4010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1174892780
LBN Legal business name Tennessee Valley Internal Medicine, Pc
DBA Doing business as
Authorized official Patellis, Nicholas A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2011
Last updated Apr 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174892780 NPPES
Alabama MEDICAID 136258

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