EASTERN SHORE CARE SERVICES P.C. NPI 1164614137

NPI Information

EASTERN SHORE CARE SERVICES, P.C. is a plastic and reconstructive surgery surgery in Fairhope, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. EASTERN SHORE CARE SERVICES, P.C. NPI is 1164614137. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Eastern Shore Aesthetic Services Pc.

The provider's business location address is:

411 N SECTION ST
FAIRHOPE, AL
ZIP 36532-649
Phone: (251) 591-3978

The provider's authorized official is William Rucker Staggers .
The authorized official title is President and has the following contact phone number (251) 929-7850.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 6/4/2019.

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.