Organization
IMC OTOLARYNGOLOGY FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE F SMITH (DIRECTOR)
(251) 463-2010
Entity
Organization
Contact information
Practice address
3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL 36693-3318
(251) 463-2010
Mailing address
3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL 36693-3318
(251) 463-2010
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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