Southeastern Plastic Surgery Assoc., Pc in Tuscaloosa - Specialist
Southeastern Plastic Surgery Assoc., Pc - NPI 1124168927
Southeastern Plastic Surgery Assoc., Pc is a Specialist in Tuscaloosa, Alabama. Southeastern Plastic Surgery Assoc., Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southeastern Plastic Surgery Assoc., Pc is 1124168927. The last update date is 2012-03-27.
Southeastern Plastic Surgery Assoc., Pc's current location address is 100 Towncenter, Tuscaloosa, Alabama. You can contact this provider via phone number 2053458820 and fax number 2053458842. The mailing address for Southeastern Plastic Surgery Assoc., Pc is 100 Towncenter, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Plastic Surgery Assoc., Pc |
|---|---|
| Address | 100 Towncenter, Tuscaloosa, Alabama |
| Phone Number | 2053458820 |
| Fax Number | 2053458842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SURGEON |
|---|---|
| Authorized Official Name | Pernia R Luis |
| Credentials | M.D. |
| Telephone Number | 2053458820 |
NPI Number Detail
| NPI Number | 1124168927 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 100 Towncenter |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354061832 |
| Phone Number | 2053458820 |
| Fax Number | 2053458842 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 10631 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 441666528B | MS | BCBS OF MS | |
| 528501310 | AL | -- | |
| 240000037 | MS | MEDICARE | |
| 51014573 | AL | BCBS OF AL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southeastern Plastic Surgery Assoc., Pc by the Centers for Medicare & Medicaid Services?
The Southeastern Plastic Surgery Assoc., Pc has been issued the NPI (National Provider Identifier) 1124168927 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Southeastern Plastic Surgery Assoc., Pc's facilities are situated?
The facilities of Southeastern Plastic Surgery Assoc., Pc are physically located at the following address: 100 Towncenter, Tuscaloosa, AL, 354061832.
What is Southeastern Plastic Surgery Assoc., Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeastern Plastic Surgery Assoc., Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124168927 to Southeastern Plastic Surgery Assoc., Pc?
The Southeastern Plastic Surgery Assoc., Pc received its 1124168927 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date were the Southeastern Plastic Surgery Assoc., Pc's details last updated?
The information pertaining to the Southeastern Plastic Surgery Assoc., Pc, including its address, specialty, and other details, was most recently updated on 2012-03-27.
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