Mtn Lake Urology PC
NPI #1801050364 in Scottsboro, Alabama
Provider Information
- NPI Number
- 1801050364
- Entity Type
- Organization
- Organization Name
- Mtn Lake Urology PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 14, 2008
- Last Updated
- Mar 21, 2018
Practice Location
- Address
- 750 BYRON RD
- City
- Scottsboro
- State
- Alabama
- ZIP Code
- 35769-4051
- Phone
- (256) 259-8765
Authorized Official
- Name
- SHERRY GROSS
- Title
- OFFICE MANAGER
- Phone
- (256) 259-8765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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|---|---|
| Alabama Urology Northeast | AI Deep Dive |
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