Provider Demographics
NPI:1841859774
Name:ENT ASSOCIATES OF ALABAMA PC
Entity type:Organization
Organization Name:ENT ASSOCIATES OF ALABAMA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-466-4309
Mailing Address - Street 1:835 ST VINCENTS DR. SUITE #402
Mailing Address - Street 2:
Mailing Address - City:B'HAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1613
Mailing Address - Country:US
Mailing Address - Phone:205-933-9236
Mailing Address - Fax:
Practice Address - Street 1:835 ST VINCENTS DR. SUITE #402
Practice Address - Street 2:
Practice Address - City:B'HAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1613
Practice Address - Country:US
Practice Address - Phone:205-933-9236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENT ASSOCIATES OF ALABAMA PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty