Organization
SOUTHERN HEAD & NECK SURGERY
Active
Organization
SOUTHERN HEAD & NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED W MCLEOD (OFFICE MANAGER)
(256) 329-1114
Entity
Organization
Contact information
Practice address
3368 HIGHWAY 280, SUITE G-15, ALEXANDER CITY, AL 35010-3393
(256) 329-1114
(256) 329-3339
Mailing address
3368 HIGHWAY 280, SUITE G-15, ALEXANDER CITY, AL 35010-3393
(256) 329-1114
(256) 329-3339
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
AL16702
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL16702
STATE LICENSE NUMBER
AL
Enumeration date
09/29/2008
Last updated
09/29/2008
Update your record
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