| NPI | 1164487708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRA CLARK Billing/Insurance 256-355-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-02-20 |