Organization
ENT CONSULTANTS
Active
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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