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Organization

ENT ASSOCIATES OF ALABAMA, P.C.

Active
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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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