Organization
ENT ASSOCIATES OF ALABAMA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE P NICHOLS (CHIEF OPERATING OFFICER)
(205) 933-9236
Entity
Organization
Contact information
Practice address
833 SAINT VINCENTS DR, POB#3 SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213
Mailing address
833 SAINT VINCENTS DR, POB#3 SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060077
—
AL
Enumeration date
08/31/2006
Last updated
08/23/2013
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