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Organization
ASSOCIATES IN GASTROENTEROLOGY, PC
Active
Organization
ASSOCIATES IN GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA KATHRYNE EZELL CRNP (NURSE)
(256) 883-0098
Entity
Organization
Contact information
Practice address
809 SHONEY DR SW, SUITE 202, HUNTSVILLE, AL 35801-5308
(256) 883-0098
Mailing address
8906 WILLOW HILLS DR SE, HUNTSVILLE, AL 35802-3730
(256) 694-4362
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1-127404
AL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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