Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trevor Lee Tatum

Individual provider Surgical Physician Assistant · NPI 1710639356

Trevor Lee Tatum is a Surgical Physician Assistant in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2022.

Licensed in
AL
In the registry since
2022

Practice location Address checks out

700 19th St S
Birmingham, AL 35233-1927
Phone: (205) 933-8101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1909 (AL)

Record details

NPI number1710639356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

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