Organization Name: | SCOTT A. CHARLTON, MD, PC |
NPI Number: | 1033357744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT ASHLEY CHARLTON (OWNER) |
Mailing Address: | 101 E Brunson St Suite 102 Enterprise |
State: | AL US |
Postal Code: | 363302526 |
Phone Number: | 3343932353 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |