Organization
ALABAMA EAR, NOSE & THROAT SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG M BENOIT MD (PARTNER)
(205) 523-9300
Entity
Organization
Contact information
Practice address
302 MERCHANTS WALK, SUITE 100, TUSCALOOSA, AL 35406-2290
(205) 523-9300
(205) 523-9301
Mailing address
302 MERCHANTS WALK, SUITE 100, TUSCALOOSA, AL 35406-2290
(205) 523-9300
(205) 523-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26424
AL
207YS0123X
Facial Plastic Surgery Physician
26424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161536
—
AL
Enumeration date
06/03/2014
Last updated
09/03/2014
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