MEDICARE: SCOTTSBORO ENT, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1942368014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTTSBORO ENT, PC

Provider Business Mailing Address
First Line	:	406 TAYLOR ST STE B
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2406
Country	:	US
Telephone Number	:	256-574-6100
Fax Number	:	256-574-3004

Provider Business Practice Location Address
First Line	:	406 TAYLOR ST STE B
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2406
Country	:	US
Telephone Number	:	256-574-6100
Fax Number	:	256-574-3004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DARBY D MARSHALL
Credential	:	MD
Telephone Number	:	256-574-6100

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	09/02/2025

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