Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 22530 | AL |
N | 207KA0200X | Allergist | 22530 | AL |
Y | 207P00000X | Emergency Physician | MD.22530 | AL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 22530 | AL |
N | 207YP0228X | Pediatric Otolaryngology | 22530 | AL |
N | 207YS0123X | Facial Plastic Surgeon | 22530 | AL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 22530 | AL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 22530 | AL |
NPI | 1447238951 |
---|---|
Provider Name | Dr. Scott Ashley Charlton |
First Address | Enterprise, AL 36331-1105 |
Second Address | Enterprise, AL 36330-2526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 10/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009962010 | (05) | AL |
G33969 | (02) | AL |