Organization
SELMA RADIOLOGY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D LAURENT (CEO)
(334) 288-4624
Entity
Organization
Contact information
Practice address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Mailing address
2055 NORMANDIE DR STE 200, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529915030
—
AL
Enumeration date
05/28/2006
Last updated
03/22/2023
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