Individual provider · Type 1 NPI

Krystal Aultman Tubbs, PA-C

Medical Physician Assistant · Tuscaloosa, AL

NPI number 1114512480 Active

Practice location

1774 Mcfarland Blvd N
Tuscaloosa, AL 35406-2136

Mailing address

11324 Lexie Ln
Brookwood, AL 35444-1077

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X1778 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1114512480

Krystal Aultman Tubbs, PA-C's National Provider Identifier is 1114512480, issued on Mar 8, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tuscaloosa, AL. The record was last updated on Apr 7, 2021.