Organization
NORTHWEST ALABAMA SURGICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF RYAN MD (OWNER)
(205) 486-3800
Entity
Organization
Contact information
Practice address
42030 HIGHWAY 195, SUITE C, HALEYVILLE, AL 35565-7054
(205) 486-3800
(205) 486-3802
Mailing address
PO BOX 1046, HALEYVILLE, AL 35565-1046
(205) 486-3800
(205) 486-3802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22074
AL
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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