National Provider Identifier Database

TENNESSEE VALLEY PEDIATRIC SURGERY
Children


Contact Information

TENNESSEE VALLEY PEDIATRIC SURGERY
420 LOWELL DRIVE
SUITE 401
HUNTSVILLE, AL35801
Phone: 256-265-1800
Fax: 256-265-1801
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for TENNESSEE VALLEY PEDIATRIC SURGERY

NPI Number 1225140486
Legal business name
LBN
TENNESSEE VALLEY PEDIATRIC SURGERY
Authorized official TARA SANDLIN - (PHYSICIAN ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 08/31/2006
Last updated 05/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: PA448

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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