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DR. LARRY KEITH SCARBOROUGH M. D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1689658718

Individual Registrant:
DR. LARRY KEITH SCARBOROUGH M. D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4055 AL HIGHWAY 9 SUITE F CEDAR BLUFF, AL 35959-5099 US
Tel: 256-779-6057  Fax: --

Contact information for business:
PO BOX 97  GADSDEN, AL 35902-0097 US
Tel: 256-492-0131  Fax: 256-492-0131

Registration Information:
NPI: 1689658718
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL11701
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
TN18421

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS510-84460AL01
UNITEDHEALTH0110485AL01
ALL OTHER INSURANCE CO62-1334345AL01
AETNA0004197385AL01




HEALTH CARE JOBS AL - Page 1



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