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Beau Taylor Vandiver, MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Mountain Brk, Alabama
NPI 1861981102

Beau Taylor Vandiver is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician based in Irondale, AL and is specialized in Plastic Surgery Within the Head and Neck. Beau Taylor Vandiver practices in Mountain Brk, AL and has the professional credentials of MD. The NPI Number for Beau Taylor Vandiver is 1861981102 and holds a License No. (Alabama).

The current practice location address for Beau Taylor Vandiver is 2700 Highway 280 S Ste 300, Mountain Brk, AL and can be reached out via phone at 205-930-9595 and via fax at 205-802-7719. You can also correspond with Beau Taylor Vandiver through the mailing address at 3894 GRANTS LN, IRONDALE, AL - 35210-5510 (mailing address contact number: ).

Location: 2700 Highway 280 S Ste 300, Mountain Brk, AL, 35210-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861981102
Provider Name
Beau Taylor Vandiver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2700 Highway 280 S Ste 300, Mountain Brk, AL, 35210-5510
Phone Number
205-930-9595
Fax Number
205-802-7719
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Highway 280 S Ste 300
City
Mountain Brk
State
Alabama
Zip
35223-2445
Phone Number
205-930-9595
Fax Number
205-802-7719
person
Provider Business Mailing Address Details
Address
2700 Highway 280 S Ste 300
City
Mountain Brk
State
Alabama
Zip
35223-2445
Phone Number
205-930-9595
Fax Number
205-802-7719
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
39047 (Alabama)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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