Organization
ANNISTON EAR, NOSE & THROAT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H HURLBUTT IV M.D. (PRESIDENT)
(256) 236-4426
Entity
Organization
Contact information
Practice address
901 LEIGHTON AVE, SUITE 601, ANNISTON, AL 36207-5700
(256) 236-4426
(256) 238-8830
Mailing address
901 LEIGHTON AVE, SUITE 601, ANNISTON, AL 36207-5700
(256) 236-4426
(256) 238-8830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528601340
—
AL
01
—
CA 0630
RAILROAD MEDICARE GRP
—
Enumeration date
08/29/2006
Last updated
06/29/2010
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