MTN LAKE UROLOGY PC is a specialist in Scottsboro, AL. The provider is 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. MTN LAKE UROLOGY PC NPI is 1801050364. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
750 BYRON RD
SCOTTSBORO, AL
ZIP 35769-051
Phone: (256) 259-8765
Fax: (256) 716-8060
The provider's authorized official is Sherry Gross .
The authorized official title is Office Manager and has the following contact phone number (256) 259-8765.
The CLIA number assigned to this NPI record is 01D2123209 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/14/2008 and was last updated on 3/21/2018.