Healthcare Provider Details

I. General information

NPI: 1437279601
Provider Name (Legal Business Name): NORTH ALABAMA ENT ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 MEMORIAL PARKWAY SW SUITE 5 & 9
HUNTSVILLE AL
35801
US

IV. Provider business mailing address

1963 MEMORIAL PARKWAY SW SUITE 5 & 9
HUNTSVILLE AL
35801
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-9300
  • Fax: 256-535-9032
Mailing address:
  • Phone: 256-536-9300
  • Fax: 256-535-9032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARAH CORSAIR I
Title or Position: CREDENTIALING SPECIALIST/BOOKKEEPER
Credential:
Phone: 256-536-9300