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ANDALUSIA GREATER REGIONAL OTOLARYNGOLOGY ENT P C NPI 1548438815


NPI Information

NPI: 1548438815
Provider Name: ANDALUSIA GREATER REGIONAL OTOLARYNGOLOGY ENT P C

Other Name: AGRO ENT

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
300 MEDICAL AVENUE
2
ANDALUSIA, AL
ZIP 36420
Phone: (334) 427-2476
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ANDALUSIA GREATER REGIONAL OTOLARYNGOLOGY ENT P C is a specialist in Andalusia, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANDALUSIA GREATER REGIONAL OTOLARYNGOLOGY ENT P C NPI is 1548438815. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Agro Ent.

The provider's business location address is:

300 MEDICAL AVENUE
2
ANDALUSIA, AL
ZIP 36420-201
Phone: (334) 427-2476
Fax: (334) 427-2477

The provider's authorized official is Rickey G Love .
The authorized official title is Doctor/president and has the following contact phone number (334) 427-2476.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 12/19/2016.


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
1174400000XSpecialist12982ALABAMAYes

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
1C53087MEDICARE UPINALABAMA
2102G705599MEDICARE PINALABAMA
3529914990MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.