Healthcare Provider Details

I. General information

NPI: 1851485445
Provider Name (Legal Business Name): ALABAMA ENT ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 SOUTHLAKE PARKWAY SUITE 300
BIRMINGHAM AL
35244
US

IV. Provider business mailing address

4515 SOUTHLAKE PARKWAY SUITE 300
BIRMINGHAM AL
35244
US

V. Phone/Fax

Practice location:
  • Phone: 205-985-7393
  • Fax: 205-987-1332
Mailing address:
  • Phone: 205-985-7393
  • Fax: 205-987-1332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: LATARA D POLLARD
Title or Position: OFFICE MANAGER
Credential:
Phone: 205-985-7393