OrganizationTennessee Valley Ob-Gyn Clinic PcObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address910 Adams St SE Ste 200, Huntsville, AL 35801-3759(256) 265-6512PECOS EnrollmentBased on the most recent information from CMS, provider Tennessee Valley Ob-Gyn Clinic Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1376678854Provider TypeOrganizationFull NameTennessee Valley Ob-Gyn Clinic PcSubpartNoEnumeration Date2/23/2007Last Updated4/27/2017Contact InformationPractice LocationPractice Address910 Adams St SE Ste 200, Huntsville, AL 35801-3759Phone(256) 265-6512Fax(256) 265-6727Mailing LocationMailing Address910 Adams St Ste 200, Huntsville, AL 35801-3759Phone(256) 265-6512Fax(256) 265-6727Authorized OfficialNameCallison, Sharon (Md)Phone(256) 265-6512Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense23915AlabamaProvider IdentifiersIDDescriptionIssuerID529910490DescriptionMedicaidIssuerUnlistedAlabama