CORE ENT. LLC NPI 1649523044

NPI Information

CORE ENT. LLC is an otolaryngology/facial plastic surgery otolaryngology in Gadsden, AL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. CORE ENT. LLC NPI is 1649523044. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is North Alabama Medical Assoc. Llc.

The provider's business location address is:

215 SOUTH 5TH STREET
GADSDEN, AL
ZIP 35901-217
Phone: (256) 543-2867
Fax: (256) 459-4791

The provider's authorized official is Kurt W. Kantzler .
The authorized official title is Physician and has the following contact phone number (256) 543-2867.

The CLIA number assigned to this NPI record is 01D0979180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2012 and was last updated on 10/23/2012.

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

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