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SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY LLC NPI 1881019537


NPI Information

NPI: 1881019537
Provider Name: SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
2126 W ROY PARKER RD STE 207
OZARK, AL
ZIP 36360
Phone: (334) 443-0335
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SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC is an otolaryngology/facial plastic surgery otolaryngology in Ozark, AL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SOUTH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, LLC NPI is 1881019537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2126 W ROY PARKER RD STE 207
OZARK, AL
ZIP 36360-566
Phone: (334) 443-0335

The provider's authorized official is Tarik Y Farrag .
The authorized official title is President/physician and has the following contact phone number (443) 854-6019.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 4/27/2020.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD.32237ALABAMAYes

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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