McDonough Obgyn
Specialist in Enterprise, AL. Organization (NPI-2).
NPI number1982806352
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982806352
- Entity type
- Organization (NPI-2)
- Legal business name
- McDonough Obgyn
- Organization subpart
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 3908 | AL | Yes |
Practice location
207 E Watts StSuite 200
Enterprise, AL 36330-1801
Phone 334-347-4646 · Fax 334-347-8719
Mailing address
207 E Watts StSuite 200
Enterprise, AL 36330-1801
Phone 334-347-4646 · Fax 334-347-8719
Authorized official
Gilbert Lee McDonough
Owner
3343474646
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