| NPI | 1033357744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ASHLEY CHARLTON Owner 334-393-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-03-10 |