Gary Mathers Lake in Tuscaloosa - Otolaryngology
Gary Mathers Lake - NPI 1124056916
Gary Mathers Lake is a Otolaryngology in Tuscaloosa, Alabama. Gary Mathers Lake practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Gary Mathers Lake is 1124056916. The last update date is 2007-07-08.
Gary Mathers Lake's current location address is 1300 Mcfarland Blvd Ne, Tuscaloosa, Alabama. You can contact this provider via phone number 2057589041 and fax number 2053458328. The mailing address for Gary Mathers Lake is 1300 Mcfarland Blvd Ne, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Mathers Lake |
|---|---|
| Address | 1300 Mcfarland Blvd Ne, Tuscaloosa, Alabama |
| Phone Number | 2057589041 |
| Fax Number | 2053458328 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124056916 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1300 Mcfarland Blvd Ne |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354062283 |
| Phone Number | 2057589041 |
| Fax Number | 2053458328 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 18921 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
What is the Gary Mathers Lake's 1124056916?
The Gary Mathers Lake's NPI (National Provider Identifier) Number is 1124056916. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary Mathers Lake is geographically located?
The Gary Mathers Lake is physically situated at the following location: 1300 Mcfarland Blvd Ne, Tuscaloosa, AL, 354062283.
What is Gary Mathers Lake's area of expertise and its corresponding taxonomy classification?
The Gary Mathers Lake's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gary Mathers Lake receive the assignment of its 1124056916 from the Centers for Medicare & Medicaid Services?
The Gary Mathers Lake was issued its 1124056916 by the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date was the information pertaining to Gary Mathers Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Mathers Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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