DESSELLE SURGICAL CLINIC, LLC
NPI 1992938930
Specialist in Muscle Shoals, AL

Active since August 25, 2009
203 AVALON AVE, SUITE 290, MUSCLE SHOALS, AL 35661(256) 386-1125(256) 386-1126 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desselle Surgical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESSELLE SURGICAL CLINIC, LLC (NPI 1992938930) is a healthcare organization registered as a specialist in Muscle Shoals, Alabama and active in the NPI registry since August 2009. The organization lists Diane H. Dawson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992938930
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDESSELLE SURGICAL CLINIC, LLC
Location Address203 AVALON AVE, SUITE 290Muscle Shoals, AL 35661-2869
Mailing Address203 Avalon Ave, Suite 290Muscle Shoals, AL 35661-2855 · (256) 386-1125 · Fax (256) 386-1126
Fax(256) 386-1126
Organization SubpartNo
Authorized OfficialDiane H. DawsonOffice Manager · (256) 386-1125
Enumeration DateAugust 25, 2009
Last NPPES UpdateJanuary 6, 2010
NPI 1992938930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AL · 25005
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

203 AVALON AVE, Muscle Shoals, AL 35661

Other Identifiers 4

Medicaid114470AL
Other510-49740AL · Blue Cross Blue Shield
Other102I029080AL · Medicare Ptan
Medicaid1477478LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
203 AVALON AVE, SUITE 290
MUSCLE SHOALS, AL 35661
Legal Medicine
203 AVALON AVE, SUITE 350
MUSCLE SHOALS, AL 35661
Nurse Practitioner
203 AVALON AVE, SUITE 130
MUSCLE SHOALS, AL 35661
Plastic Surgery
203 AVALON AVE, SUITE 300
MUSCLE SHOALS, AL 35661
Preventive Medicine (Occupational Medicine)
203 AVALON AVE, SUITE 270
MUSCLE SHOALS, AL 35661
Orthopaedic Surgery
203 AVALON AVE, SUITE 230
MUSCLE SHOALS, AL 35661
Family Medicine
203 AVALON AVE, SUITE 200
MUSCLE SHOALS, AL 35661
Physical Therapist
203 AVALON AVE, SUITE 340
MUSCLE SHOALS, AL 35661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992938930, enumerated as an "organization" on August 25, 2009.

The provider is located at 203 AVALON AVE SUITE 290 MUSCLE SHOALS, AL 35661 and the phone number is (256) 386-1125.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid, Tricare and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.