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Mtn Lake Urology Pc
Specialist in Scottsboro, Alabama
NPI 1801050364

Mtn Lake Urology Pc is a Specialist based in Scottsboro, AL. Mtn Lake Urology Pc practices in Scottsboro, AL. The NPI Number for Mtn Lake Urology Pc is 1801050364 and holds a License No. 17993 (Alabama).

The current practice location address for Mtn Lake Urology Pc is 750 Byron Rd, Scottsboro, AL and can be reached out via phone at 256-259-8765 and via fax at 256-716-8060.

Location: 750 Byron Rd, Scottsboro, AL, 35769-4051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801050364
Provider Name
Mtn Lake Urology Pc
Credential
Provider Entity Type
Organization
Address
750 Byron Rd, Scottsboro, AL, 35769-4051
Phone Number
256-259-8765
Fax Number
256-716-8060
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106277 05 AL
institution
Provider Business Practice Location Address Details
Address
750 Byron Rd
City
Scottsboro
State
Alabama
Zip
35769-4051
Phone Number
256-259-8765
Fax Number
256-716-8060
person
Provider Business Mailing Address Details
Address
750 Byron Rd
City
Scottsboro
State
Alabama
Zip
35769-4051
Phone Number
256-259-8765
Fax Number
256-716-8060
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
17993 (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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