Southeast Alabama Ent Head & Neck in Dothan - Otolaryngology/facial Plastic Surgery
Southeast Alabama Ent Head & Neck - NPI 1528075447
Southeast Alabama Ent Head & Neck is a Otolaryngology/facial Plastic Surgery in Dothan, Alabama. Southeast Alabama Ent Head & Neck practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Southeast Alabama Ent Head & Neck is 1528075447. The last update date is 2020-08-22.
Southeast Alabama Ent Head & Neck's current location address is 1118 Rose Clark Circle, Dothan, Alabama. You can contact this provider via phone number 3347026900 and fax number 3346777749. The mailing address for Southeast Alabama Ent Head & Neck is 1118 Rose Clark Circle, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Alabama Ent Head & Neck |
|---|---|
| Address | 1118 Rose Clark Circle, Dothan, Alabama |
| Phone Number | 3347026900 |
| Fax Number | 3346777749 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Windham P Nancy |
| Telephone Number | 3347026900 |
NPI Number Detail
| NPI Number | 1528075447 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1118 Rose Clark Circle |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 36301 |
| Phone Number | 3347026900 |
| Fax Number | 3346777749 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 25142 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51515841 | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southeast Alabama Ent Head & Neck by the Centers for Medicare & Medicaid Services?
The Southeast Alabama Ent Head & Neck has been assigned the NPI (National Provider Identifier) 1528075447 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Southeast Alabama Ent Head & Neck is physically located?
The Southeast Alabama Ent Head & Neck is situated at the following address: 1118 Rose Clark Circle, Dothan, AL 36301.
What is Southeast Alabama Ent Head & Neck's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeast Alabama Ent Head & Neck is Otolaryngology/facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Yx0905X.
When was the Southeast Alabama Ent Head & Neck's 1528075447 issued?
The Southeast Alabama Ent Head & Neck's 1528075447 was issued on 2006-08-02.
As of what date were the Southeast Alabama Ent Head & Neck's details last updated?
The information pertaining to the Southeast Alabama Ent Head & Neck, including its address, specialty, and other details, was most recently updated on 2020-08-22.