Desselle Surgical Clinic, LLC

NPI #1992938930 in Muscle Shoals, Alabama

Provider Information

NPI Number
1992938930
Entity Type
Organization
Organization Name
Desselle Surgical Clinic, LLC
Primary Specialty
Specialist
Enumeration Date
Aug 25, 2009
Last Updated
Jan 6, 2010

Practice Location

Address
203 AVALON AVE
Address 2
SUITE 290
State
Alabama
ZIP Code
35661-2869
Phone
(256) 386-1125

Authorized Official

Name
DIANE H. DAWSON
Title
OFFICE MANAGER
Phone
(256) 386-1125

Specialties & Taxonomy Codes

Specialty
Specialist

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