institution
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. You can also correspond with Desselle Surgical Clinic, Llc through the mailing address at 203 AVALON AVE, MUSCLE SHOALS, AL - 35661-2855 (mailing address contact number: 256-386-1125).

Location: 203 Avalon Ave, Muscle Shoals, AL, 35661-2855
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
State
Zip
35661-2869
Phone Number
256-386-1125
Fax Number
256-386-1126
person
Provider Business Mailing Address Details
Address
203 Avalon Ave
City
State
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
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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