SOUTHERN SPECIALTY PHYSICIANS LLC NPI 1669007795

NPI Information

SOUTHERN SPECIALTY PHYSICIANS LLC is a vascular surgery surgery in Montgomery, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOUTHERN SPECIALTY PHYSICIANS LLC NPI is 1669007795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7085 SYDNEY CURV
MONTGOMERY, AL
ZIP 36117-509
Phone: (334) 246-4774
Fax: (833) 963-2439

The provider's authorized official is Brian Lee Sellers .
The authorized official title is Member and has the following contact phone number (334) 246-4774.

The CLIA number assigned to this NPI record is 01D2182443 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 9/22/2021.

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:

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