Healthcare Provider Details

I. General information

NPI: 1205268810
Provider Name (Legal Business Name): WHITNEY TEW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 JOHN HAWKINS PKWY
HOOVER AL
35244-1095
US

IV. Provider business mailing address

2949 JOHN HAWKINS PKWY
HOOVER AL
35244-1095
US

V. Phone/Fax

Practice location:
  • Phone: 205-408-3933
  • Fax:
Mailing address:
  • Phone: 205-987-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2243
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number67142
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number94101
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number334736
License Number StateLA
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33979
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: