Organization Name: | ALABAMA EAR, NOSE & THROAT SPECIALISTS, LLC |
NPI Number: | 1023421468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG M BENOIT (PARTNER) |
Mailing Address: | 302 Merchants Walk Suite 100 Tuscaloosa |
State: | AL US |
Postal Code: | 354062290 |
Phone Number: | 2055239300 |
Fax Number: | 2055239301 |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 09/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | 26424 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |