PLASTIC SURGERY INC NPI 1316014681

NPI Information

PLASTIC SURGERY INC is a plastic and reconstructive surgery surgery in Tuscaloosa, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY INC NPI is 1316014681. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Na.

The provider's business location address is:

701 UNIVERSITY BLVD MEDICAL TOWER
SUITE 902
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 391-9038
Fax: (205) 345-1684

The provider's authorized official is Diana R Wyatt .
The authorized official title is Insurance Supervisor and has the following contact phone number (205) 391-6969.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.