Organization Name: | VALLEY ENT ASSOC. P.C. |
NPI Number: | 1912050352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY L LAMAR (OFFICE MANAGER) |
Mailing Address: | 1005 W Market St Ste 8 Athens |
State: | AL US |
Postal Code: | 356112454 |
Phone Number: | 2562331650 |
Fax Number: | 2562337244 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 14357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |