GARY MATHERS LAKE

TUSCALOOSA, AL
NPI1124056916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: AL  18921)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
Mr. GARY MATHERS LAKE MD
1300 MCFARLAND BLVD NE STE 150
TUSCALOOSA, AL 35406-2283
Phone number: 205-758-9041
Mailing Address
Mr. GARY MATHERS LAKE MD
1300 MCFARLAND BLVD NE STE 150
TUSCALOOSA, AL 35406-2283
Phone number: 205-758-9041
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