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Organization

CENTRAL ALABAMA ENT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALLACE CARROLL VAUGHAN JR. M.D. (PRESIDENT)
(334) 277-0484
Entity
Organization

Contact information

Practice address
6980 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3556
(334) 277-0484
(334) 272-8877
Mailing address
6980 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3556
(334) 277-0484
(334) 272-8877

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
10/17/2006
Last updated
11/13/2015
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