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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
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