Healthcare Provider Details

I. General information

NPI: 1609199421
Provider Name (Legal Business Name): TROY HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 SCOUTING CIRCLE
TROY AL
36081
US

IV. Provider business mailing address

PO BOX 1333 199 SCOUTING CIRCLE
TROY AL
36081-1333
US

V. Phone/Fax

Practice location:
  • Phone: 334-770-2222
  • Fax: 334-770-2224
Mailing address:
  • Phone: 334-770-2222
  • Fax: 334-770-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD 26041
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDO 1079
License Number StateAL

VIII. Authorized Official

Name: MR. YANNI TEMPELIS
Title or Position: OWNER
Credential:
Phone: 334-770-2222