Organization
EAR, NOSE, AND THROAT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M DABBS M.D. (PRESIDENT)
(205) 787-1457
Entity
Organization
Contact information
Practice address
652 LOMB AVE SW, BIRMINGHAM, AL 35211-1330
(205) 787-1457
(205) 788-0073
Mailing address
652 LOMB AVE SW, BIRMINGHAM, AL 35211-1330
(205) 787-1457
(205) 788-0073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D948
MEDICARE GROUP #
AL
Enumeration date
05/17/2007
Last updated
01/23/2008
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