OrganizationActive
Decatur Ent Associates P C
NPI 1164487708 · Facial Plastic Surgery Physician · Decatur, AL
Provider details
- NPI number
- 1164487708
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shondra Clark, Billing/Insurance(256) 355-6200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otolaryngic Allergy Physician207YX0602X
Allopathic & Osteopathic Physicians
Practice location
1218 13th Ave Se
Decatur, AL 35601-4307
Phone: (256) 355-6200
Fax: (256) 355-6241
Approximate (ZIP-level) locationGet directions
Mailing address
1218 13th Ave Se
Decatur, AL 35601-4307
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.