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

Mtn Lake Urology PC

Organization Specialist · NPI 1801050364

Mtn Lake Urology PC is a Specialist in Scottsboro, Alabama. Licensed in Alabama. Registered with an NPI since 2008.

Licensed in
AL
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

750 Byron Rd
Scottsboro, AL 35769-4051
Phone: (256) 259-8765
Fax: (256) 716-8060
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17993 (AL)

Record details

NPI number1801050364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherry Gross — Office Manager · (256) 259-8765
NPI enumeratedJuly 14, 2008
Last updated in NPPESMarch 21, 2018
Mailing address750 Byron Rd, Scottsboro, AL 35769-4051

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