Provider Demographics
NPI:1578642179
Name:BABIESETC OB/GYN PC
Entity Type:Organization
Organization Name:BABIESETC OB/GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-461-1766
Mailing Address - Street 1:235 PORTAL LN STE A
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5813
Mailing Address - Country:US
Mailing Address - Phone:256-461-1766
Mailing Address - Fax:
Practice Address - Street 1:235 PORTAL LN STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-5813
Practice Address - Country:US
Practice Address - Phone:256-461-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty