Individual
MAI HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3707 S BROAD ST APT 1004, SCOTTSBORO, AL 35769-7439
(706) 332-2449
Mailing address
3707 S BROAD ST APT 1004, SCOTTSBORO, AL 35769-7439
(706) 332-2449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28279
AL
207Q00000X
Family Medicine Physician
30767
MS
Other
Enumeration date
04/16/2007
Last updated
06/02/2023
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