ALABAMA HEAD AND NECK CLINIC NPI 1629089701

NPI Details

ALABAMA HEAD AND NECK CLINIC is a specialist in Bessemer, 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. ALABAMA HEAD AND NECK CLINIC NPI is 1629089701. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

730 MEMORIAL DR
SUITE 108
BESSEMER, AL
ZIP 35022-032
Phone: (205) 424-1450
Fax: (205) 424-6077

The provider's authorized official is Jorge Alberto Caceres .
The authorized official title is President / Physician and has the following contact phone number (205) 424-1450.

The CLIA number assigned to this NPI record is 01D2180270 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/9/2008.

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:

Other Identifiers

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