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NPI Code Detail

MEDICARE: DR. A. SCOTT TULLY M.D.

MEDICARE: DR. A. SCOTT TULLY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician00014371AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6000019404OTHERALMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12639980001OTHERALCIGNA
2E42059OTHERALVIVA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40366100001OTHERALCIGNA GOVERNMENT SERVICES PTAN
5E42059OTHERALHEALTH SPRINGS
71910094OTHERALUNITED HEALTHCARE
80366100001OTHERALMC NSC
94083146OTHERALAETNA

General Provider Information

NPI Number : 1669445888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. A. SCOTT TULLY M.D.
Provider Business Mailing Address
First Line : 3485 INDEPENDENCE DR
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-5603
Country : US
Telephone Number : 205-930-0920
Fax Number : 205-445-0115
Provider Business Practice Location Address
First Line : 3485 INDEPENDENCE DR
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-5603
Country : US
Telephone Number : 205-930-0920
Fax Number : 205-445-0115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 04/01/2014

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Directions to “ DR. A. SCOTT TULLY M.D.” Practice Location

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