NPI 1548438815

Andalusia Greater Regional Otolaryngology Ent P C

Organisation Specialist Andalusia, AL

Practice location

Address: 300 Medical Avenue 2, Andalusia, AL 36420-1201
Phone: (334) 427-2476
Fax: (334) 427-2477

Authorised official

Name: Rickey G Love
Title: Doctor/President
Phone: (334) 427-2476

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12982 (AL)

Other Specialist providers in Alabama →

Registry record

NPI: 1548438815
Entity type: Organization
NPI issued: 20 Feb 2008
Record last updated: 19 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.