Individual provider · NPI-1

Dr. Melton Ambrose III, M.D.

Anesthesiology · Huntsville, AL

NPI number1922462712
StatusActive
Last updated in NPPESApr 30, 2020

Details

NPI
1922462712
Entity type
Individual (NPI-1)
Name
Dr. Melton Ambrose III
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2016
Certification date
Apr 30, 2020
Last updated
Apr 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology36223ALYes

Practice location

101 Sivley Rd Sw
Huntsville, AL 35801-4421

Phone 256-539-9471

Mailing address

625 19th St S
Birmingham, AL 35233-1900

Other practice locations

625 19th St S
Birmingham, AL 35233-1900

Phone 205-934-4696

245 Governors Dr Se
Huntsville, AL 35801-2700

Phone 256-539-9471

8375 Highway 72 W
Madison, AL 35758-9573

Phone 256-539-9471

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