Organization
TROY EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILTON DAVID MCRAE M. D. (OWNER)
(334) 807-8448
Entity
Organization
Contact information
Practice address
1320 HIGHWAY 231 S, SUITE 3, TROY, AL 36081-3000
(334) 807-8448
(334) 807-6099
Mailing address
1320 HIGHWAY 231 S, SUITE 3, TROY, AL 36081-3000
(334) 807-8448
(334) 807-6099
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
6245
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093706905
NPI
AL
Enumeration date
10/06/2009
Last updated
10/06/2009
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