Individual
DR. EMMETT SCOTT ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 SAINT VINCENTS DR, SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9236
Mailing address
833 SAINT VINCENTS DR, STE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12962
AL
207Y00000X
Otolaryngology Physician
Primary
12962
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024342
—
AL
Enumeration date
03/14/2007
Last updated
02/11/2015
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