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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: August 16, 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
Phone(256) 386-1125
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
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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 13

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

SHOALS HEALTH GROUP LLC
Internal Medicine
203 AVALON AVE
MUSCLE SHOALS, AL 35661
Colbert County (256) 718-4041
FAMILY PRACTICE SPECIALIST, PC
Legal Medicine
203 AVALON AVE, SUITE 350
MUSCLE SHOALS, AL 35661
Colbert County (256) 381-2161
RCHP-FLORENCE, LLC
Preventive Medicine (Occupational Medicine)
203 AVALON AVE, SUITE 270
MUSCLE SHOALS, AL 35661
Colbert County (256) 386-1436
DR. AMY T CLARK MD
Family Medicine
203 AVALON AVE, SUITE 120
MUSCLE SHOALS, AL 35661
Colbert County (256) 383-6070
RCHP-FLORENCE, LLC
Family Medicine
203 AVALON AVE, SUITE 200
MUSCLE SHOALS, AL 35661
Colbert County (256) 386-1130
TERENCE T HART, MD, PA
Clinic/Center (Primary Care)
203 AVALON AVE, SUITE 390
MUSCLE SHOALS, AL 35661
Colbert County (256) 386-1105
WILLIAM ROUSE
Nurse Practitioner (Psychiatric/Mental Health)
203 AVALON AVE
MUSCLE SHOALS, AL 35661
Colbert County (256) 629-1062
JAMES WILLIAM MECKES M.D.
Specialist
203 AVALON AVE, SUITE 290
MUSCLE SHOALS, AL 35661
Colbert County (256) 386-1125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desselle Surgical Clinic, LLC's NPI number?

The NPI number for Desselle Surgical Clinic, LLC is 1992938930. It was assigned to this organization in the NPPES registry on August 25, 2009.

Where is Desselle Surgical Clinic, LLC located?

Desselle Surgical Clinic, LLC is located at 203 Avalon Ave Suite 290, Muscle Shoals, AL 35661. The listed phone number is (256) 386-1125.

What is Desselle Surgical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Desselle Surgical Clinic, LLC was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.