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Mcdonough Obgyn
Specialist in Enterprise, Alabama
NPI 1982806352

Mcdonough Obgyn is a Specialist based in Enterprise, AL. Mcdonough Obgyn practices in Enterprise, AL. The NPI Number for Mcdonough Obgyn is 1982806352 and holds a License No. 3908 (Alabama).

The current practice location address for Mcdonough Obgyn is 207 E Watts St, Enterprise, AL and can be reached out via phone at 334-347-4646 and via fax at 334-347-8719. You can also correspond with Mcdonough Obgyn through the mailing address at 207 E WATTS ST, ENTERPRISE, AL - 36330-1801 (mailing address contact number: 334-347-4646).

Location: 207 E Watts St, Enterprise, AL, 36330-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982806352
Provider Name
Mcdonough Obgyn
Credential
Provider Entity Type
Organization
Address
207 E Watts St, Enterprise, AL, 36330-1801
Phone Number
334-347-4646
Fax Number
334-347-8719
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04173 01 AL PROVIDER NUMBER
1023077013 01 AL INDIVIDUAL NPI NUMBER
510-04173 01 AL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
207 E Watts St
City
Enterprise
State
Alabama
Zip
36330-1801
Phone Number
334-347-4646
Fax Number
334-347-8719
person
Provider Business Mailing Address Details
Address
207 E Watts St
City
Enterprise
State
Alabama
Zip
36330-1801
Phone Number
334-347-4646
Fax Number
334-347-8719
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3908 (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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