Healthcare Provider Details

I. General information

NPI: 1376960476
Provider Name (Legal Business Name): PHYSYNERGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR SW
HUNTSVILLE AL
35801-6455
US

IV. Provider business mailing address

303 WILLIAMS AVE SW SUITE 129
HUNTSVILLE AL
35801-6012
US

V. Phone/Fax

Practice location:
  • Phone: 256-882-3100
  • Fax:
Mailing address:
  • Phone: 888-347-0114
  • Fax: 256-533-7539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY K ADAMS JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 888-347-0114