institution
Andalusia Greater Regional Otolaryngology Ent P C
Specialist in Andalusia, Alabama
NPI 1548438815

Andalusia Greater Regional Otolaryngology Ent P C is a Specialist based in Andalusia, AL. Andalusia Greater Regional Otolaryngology Ent P C practices in Andalusia, AL. The NPI Number for Andalusia Greater Regional Otolaryngology Ent P C is 1548438815 and holds a License No. 12982 (Alabama).

The current practice location address for Andalusia Greater Regional Otolaryngology Ent P C is 300 Medical Avenue, Andalusia, AL and can be reached out via phone at 334-427-2476 and via fax at 334-427-2477.

Location: 300 Medical Avenue, Andalusia, AL, 36420-1201
institution
Provider Profile Details
NPI Number
1548438815
Provider Name
Andalusia Greater Regional Otolaryngology Ent P C
Credential
Provider Entity Type
Organization
Address
300 Medical Avenue, Andalusia, AL, 36420-1201
Phone Number
334-427-2476
Fax Number
334-427-2477
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529914990 05 AL
institution
Provider Business Practice Location Address Details
Address
300 Medical Avenue
City
State
Zip
36420-1201
Phone Number
334-427-2476
Fax Number
334-427-2477
person
Provider Business Mailing Address Details
Address
300 Medical Avenue
City
State
Zip
36420-1201
Phone Number
334-427-2476
Fax Number
334-427-2477
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
12982 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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