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Southeastern Plastic Surgery Assoc., Pc
Specialist in Tuscaloosa, Alabama
NPI 1124168927

Southeastern Plastic Surgery Assoc., Pc is a Specialist based in Tuscaloosa, AL. Southeastern Plastic Surgery Assoc., Pc practices in Tuscaloosa, AL. The NPI Number for Southeastern Plastic Surgery Assoc., Pc is 1124168927 and holds a License No. 10631 (Alabama).

The current practice location address for Southeastern Plastic Surgery Assoc., Pc is 100 Towncenter, Tuscaloosa, AL and can be reached out via phone at 205-345-8820 and via fax at 205-345-8842.

Location: 100 Towncenter, Tuscaloosa, AL, 35406-1832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124168927
Provider Name
Southeastern Plastic Surgery Assoc., Pc
Credential
Provider Entity Type
Organization
Address
100 Towncenter, Tuscaloosa, AL, 35406-1832
Phone Number
205-345-8820
Fax Number
205-345-8842
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
441666528B 01 MS BCBS OF MS
528501310 05 AL
240000037 01 MS MEDICARE
51014573 01 AL BCBS OF AL
institution
Provider Business Practice Location Address Details
Address
100 Towncenter
City
Tuscaloosa
State
Alabama
Zip
35406-1832
Phone Number
205-345-8820
Fax Number
205-345-8842
person
Provider Business Mailing Address Details
Address
100 Towncenter
City
Tuscaloosa
State
Alabama
Zip
35406-1832
Phone Number
205-345-8820
Fax Number
205-345-8842
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10631 (Alabama)
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.
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