Individual
DR. JAMES MICHAEL MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-6837
(334) 393-7011
Mailing address
PO BOX 311307, ENTERPRISE, AL 36331-1307
(334) 393-6837
(334) 393-7011
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
14766
AL
207Y00000X
Otolaryngology Physician
Primary
14766
AL
207YP0228X
Pediatric Otolaryngology Physician
14766
AL
207YS0123X
Facial Plastic Surgery Physician
14766
AL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
14766
AL
207YX0602X
Otolaryngic Allergy Physician
14766
AL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
14766
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024284
—
AL
Enumeration date
01/04/2006
Last updated
09/27/2010
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