CUTANEOUS ONCOLOGY & SURGERY CENTER LLC NPI 1699139915

NPI Information

CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC is an ambulatory surgical clinic center in Vestavia Hls, AL. CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC NPI is 1699139915. The provider is registered as an organization entity type.
The provider Is Doing Business As Smoothrock Surgery Center.

The provider's business location address is:

1940 STONEGATE DR STE 140
VESTAVIA HLS, AL
ZIP 35242-541
Phone: (205) 968-3919
Fax: (205) 968-3918

The provider's authorized official is Christopher Harmon .
The authorized official title is Owner and has the following contact phone number (205) 977-9876.

The CLIA number assigned to this NPI record is 01D2132974 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 3/4/2020.

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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