Organization · Type 2 NPI
MTN Lake Urology PC
Specialist · Scottsboro, AL
NPI number
1801050364
Active
Practice location
750 Byron Rd
Scottsboro, AL 35769-4051
Fax (256) 716-8060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 17993 (AL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Scottsboro
About NPI 1801050364
MTN Lake Urology PC's National Provider Identifier is 1801050364, issued on Jul 14, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Scottsboro, AL. The record was last updated on Mar 21, 2018.