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Desselle Surgical Clinic, Llc
Specialist in Muscle Shoals, Alabama
NPI 1992938930

Desselle Surgical Clinic, Llc is a Specialist based in Muscle Shoals, AL. Desselle Surgical Clinic, Llc practices in Muscle Shoals, AL. The NPI Number for Desselle Surgical Clinic, Llc is 1992938930 and holds a License No. 25005 (Alabama).

The current practice location address for Desselle Surgical Clinic, Llc is 203 Avalon Ave, Muscle Shoals, AL and can be reached out via phone at 256-386-1125 and via fax at 256-386-1126.

Location: 203 Avalon Ave, Muscle Shoals, AL, 35661-2855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992938930
Provider Name
Desselle Surgical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
203 Avalon Ave, Muscle Shoals, AL, 35661-2855
Phone Number
256-386-1125
Fax Number
256-386-1126
Provider Enumeration Date
08/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477478 05 LA
114470 05 AL
510-49740 01 AL BLUE CROSS BLUE SHIELD
102I029080 01 AL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
203 Avalon Ave
City
Muscle Shoals
State
Alabama
Zip
35661-2869
Phone Number
256-386-1125
Fax Number
256-386-1126
person
Provider Business Mailing Address Details
Address
203 Avalon Ave
City
Muscle Shoals
State
Alabama
Zip
35661-2869
Phone Number
256-386-1125
Fax Number
256-386-1126
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25005 (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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