NPI 1760169486
Roosevelt Tinker
Practice location
- Address
- 4758 Woodmere Blvd STE F, Montgomery, AL 36106-3076
- Phone
- (334) 267-5276
- Mailing address
- 600 Boulevard South SW STE 104a, Huntsville, AL 35802-2175
Registered specialties
Private Vehicle
Primary
Registry record
- NPI
- 1760169486
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jul 2023
- Record last updated
- 4 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.