Healthcare Provider Details

I. General information

NPI: 1427938737
Provider Name (Legal Business Name): TANNER ALAN BOYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 VETERANS DR
FLORENCE AL
35630-4928
US

IV. Provider business mailing address

6141 COUNTY ROAD 33
KILLEN AL
35645-7201
US

V. Phone/Fax

Practice location:
  • Phone: 256-629-1000
  • Fax:
Mailing address:
  • Phone: 256-810-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1-184456
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: