Individual provider · Type 1 NPI

Trevor Lee Tatum

Surgical Physician Assistant · Athens, AL

NPI number 1710639356 Active

Practice location

15232 Greenfield Dr
Athens, AL 35613-2897

Fax (256) 233-7244

Mailing address

525 Wild Ridge Cir
Pelham, AL 35124-2528

Other practice locations

  • 700 19th St S, Birmingham, AL 35233-1927 · (205) 933-8101

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1909 (AL)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

Other surgical physician assistant providers in Athens

See all in Athens →

About NPI 1710639356

Trevor Lee Tatum's National Provider Identifier is 1710639356, issued on Jan 25, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Athens, AL. The record was last updated on Sep 10, 2026.