Provider Demographics
NPI:1073179800
Name:MCLAUGHLIN, MICHAEL COLBY
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:COLBY
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HOLLINS RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3284
Mailing Address - Country:US
Mailing Address - Phone:334-498-1437
Mailing Address - Fax:
Practice Address - Street 1:900 HOLLINS RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3284
Practice Address - Country:US
Practice Address - Phone:334-498-1437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide