Organization
SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC
Active
Organization
SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIK Y FARRAG MD (PRESIDENT/PHYSICIAN)
(443) 854-6019
Entity
Organization
Contact information
Practice address
2126 W ROY PARKER RD STE 207, OZARK, AL 36360-8566
(334) 443-0335
Mailing address
2126 W ROY PARKER RD STE 207, OZARK, AL 36360-8566
(334) 443-0335
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD.32237
AL
Other
Enumeration date
03/04/2014
Last updated
04/27/2020
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