GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC. is a plastic and reconstructive surgery surgery in Dothan, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC. NPI is 1649510744. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
106 WESTSIDE DR
DOTHAN, AL
ZIP 36303-908
Phone: (850) 233-3376
Fax: (850) 522-8354
The provider's authorized official is Jon R Ward .
The authorized official title is President and has the following contact phone number (850) 233-3376.
The CLIA number assigned to this NPI record is 10D0683249 - hospital with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 2/26/2013 and was last updated on 3/20/2013.