Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Decatur ENT Associates P C

Organization Facial Plastic Surgery Physician · NPI 1164487708

Decatur ENT Associates P C is a Facial Plastic Surgery Physician in Decatur, Alabama. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1218 13th Ave SE
Decatur, AL 35601-4307
Phone: (256) 355-6200
Fax: (256) 355-6241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X
Otolaryngic Allergy Physician Taxonomy 207YX0602X

Record details

NPI number1164487708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shondra Clark — Billing/Insurance · (256) 355-6200
NPI enumeratedApril 18, 2006
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023
Mailing address1218 13th Ave Se, Decatur, AL 35601-4307