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NPI Code Detail

MEDICARE: PAOLA F TUMMINELLO MD

MEDICARE: PAOLA F TUMMINELLO MD
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
12084N0400XNeurology Physician21967SC
22084N0400XNeurology PhysicianME109086FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11326373861OTHERALSHOALS PRIMARY CARE, LLC

General Provider Information

NPI Number : 1942245808
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA F TUMMINELLO MD
Provider Business Mailing Address
First Line : PO BOX 2587
Second Line :
City : MUSCLE SHOALS
State : AL
Zip : 35662-2587
Country : US
Telephone Number : 256-383-4473
Fax Number : 256-381-5232
Provider Business Practice Location Address
First Line : 342 COX BLVD
Second Line :
City : SHEFFIELD
State : AL
Zip : 35660-4020
Country : US
Telephone Number : 256-383-4473
Fax Number : 256-381-5232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 12/19/2014

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Directions to “ PAOLA F TUMMINELLO MD” Practice Location

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