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Organization

SHELBY EAR NOSE AND THROAT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE GOGGINS (OFFICE ADMINSTRATOR)
(205) 621-8900
Entity
Organization

Contact information

Practice address
1228 1ST ST N, ALABASTER, AL 35007-8702
(205) 621-8900
(205) 621-7169
Mailing address
1228 1ST ST N STE 301, ALABASTER, AL 35007-8702
(205) 621-8900
(205) 621-7169

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20146
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1010027
UNITED HEALTHCARE
AL
01
2512856002
CIGNA
AL
01
51008484
BCBS OF AL
AL
01
51025753
BCBS OF AL
AL
01
51530334
BCBS OF AL
AL
05
529902750
AL
01
F51696
HEALTHSPRINGS OF ALABAMA
AL
Enumeration date
09/15/2006
Last updated
09/09/2024
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