# SOUTHEAST ALABAMA ENT HEAD & NECK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alabama ENT Head & Neck
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528075447
- **Authorized official:** MRS. NANCY P WINDHAM (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (334) 702-6900

## Contact information

- **Practice address:** 1118 ROSE CLARK CIRCLE, STE 210, DOTHAN, AL 36301
- **Practice address phone:** (334) 702-6900
- **Practice address fax:** (334) 677-7749
- **Mailing address:** 1118 ROSE CLARK CIRCLE, STE 210, DOTHAN, AL 36301
- **Mailing address phone:** (334) 702-6900
- **Mailing address fax:** (334) 677-7749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 00025142 | AL | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020