Organization
ENT CONSULTANTS
Active
Parent organization
ENT CONSULTANTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENT CONSULTANTS
Authorized official
DR. OSASERE LAMBERT AGHEDO D.O (PRESIDENT)
(334) 872-4778
Entity
Organization
Contact information
Practice address
731 DALLAS AVE, SELMA, AL 36701-5452
(334) 872-4778
(334) 872-8646
Mailing address
731 DALLAS AVE, SELMA, AL 36701-5452
(334) 872-4778
(334) 872-8646
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
DO-644
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009918380
—
AL
01
—
040014607
PALMETTO RR MEDICARE
AL
01
—
51039993
BCBS
AL
Enumeration date
12/12/2006
Last updated
09/08/2011
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