AZALEA CITY PLASTIC SURGERY PC NPI 1447425533

NPI Information

AZALEA CITY PLASTIC SURGERY PC is a specialist in Mobile, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AZALEA CITY PLASTIC SURGERY PC NPI is 1447425533. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 MEMORIAL HOSPITAL DR
BLDG #3 SUITE #309
MOBILE, AL
ZIP 36608-786
Phone: (251) 344-1151
Fax: (251) 344-2113

The provider's authorized official is Stephen R Sheppard .
The authorized official title is Owner and has the following contact phone number (251) 344-1151.

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

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.

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