Provider Demographics
NPI:1447966338
Name:TEW, MARGARET HANNA (PA-C)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:HANNA
Last Name:TEW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2636 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1118
Mailing Address - Country:US
Mailing Address - Phone:205-746-3311
Mailing Address - Fax:
Practice Address - Street 1:833 SAINT VINCENTS DR STE 402
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1613
Practice Address - Country:US
Practice Address - Phone:205-933-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA.2111363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant