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SOUTHERN HEAD & NECK SURGERY NPI 1710137575


NPI Information

NPI: 1710137575
Provider Name: SOUTHERN HEAD & NECK SURGERY
Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

Address:
3368 HIGHWAY 280
SUITE G-15
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 329-1114
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SOUTHERN HEAD & NECK SURGERY is an otolaryngic allergy otolaryngology in Alexander City, AL. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. SOUTHERN HEAD & NECK SURGERY NPI is 1710137575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3368 HIGHWAY 280
SUITE G-15
ALEXANDER CITY, AL
ZIP 35010-393
Phone: (256) 329-1114
Fax: (256) 329-3339

The provider's authorized official is Fred W Mcleod .
The authorized official title is Office Manager and has the following contact phone number (256) 329-1114.

The enumeration date for this NPI number is 9/29/2008 and was last updated on 9/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0602XOtolaryngologyOtolaryngic AllergyAL16702ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AL16702OTHERALABAMASTATE LICENSE NUMBER
2F49186MEDICARE UPINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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