Organization
TROY EAR NOSE AND THROAT
Active
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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