MEDICARE: G I ASSOCIATES OF WEST ALABAMA PC

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
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1770092421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G I ASSOCIATES OF WEST ALABAMA PC

Provider Business Mailing Address
First Line	:	1774 MCFARLAND BLVD N
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 RICE MINE RD NE
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-2403
Country	:	US
Telephone Number	:	205-759-2920
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JULIUS TOOSON
Credential	:	MD
Telephone Number	:	205-759-2520

Provider Enumeration Date	:	09/26/2017
Last Update Date	:	09/26/2017

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