Eastern Shore Care Services, P.C. in Fairhope - Plastic And Reconstructive Surgery

Eastern Shore Care Services, P.C. - NPI 1164614137

Eastern Shore Care Services, P.C. is a Plastic And Reconstructive Surgery in Fairhope, Alabama. Eastern Shore Care Services, P.C. practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Eastern Shore Care Services, P.C. is 1164614137. The last update date is 2019-06-04.

Eastern Shore Care Services, P.C.'s current location address is 411 N Section St, Fairhope, Alabama. You can contact this provider via phone number 2515913978. The mailing address for Eastern Shore Care Services, P.C. is 411 N Section St, Fairhope, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastern Shore Care Services, P.C.
Address 411 N Section St, Fairhope, Alabama
Phone Number 2515913978
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Staggers Rucker William
Telephone Number 2519297850

NPI Number Detail

NPI Number 1164614137
Provider Enumeration Date 2007-08-14
Last Updated Date 2019-06-04

Provider Mailing Address Detail

Address 411 N Section St
City Fairhope
State Alabama (AL)
Post Code 365322649
Phone Number 2515913978
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
I486 AL MEDICARE GROUP

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FAQs about Eastern Shore Care Services, P.C.

What is the Eastern Shore Care Services, P.C.'s unique identification number?

The Eastern Shore Care Services, P.C. has been assigned the NPI (National Provider Identifier) Number 1164614137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Eastern Shore Care Services, P.C. is physically located?

The Eastern Shore Care Services, P.C. is physically situated at the following address: 411 N Section St, Fairhope, AL, 365322649.

What is the Eastern Shore Care Services, P.C.'s area of specialization and corresponding taxonomy classification?

The Eastern Shore Care Services, P.C.'s specialty field is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their specialties.

On what date did the Eastern Shore Care Services, P.C. receive its 1164614137 assignment from the Centers for Medicare & Medicaid Services?

The Eastern Shore Care Services, P.C. was assigned its 1164614137 by the Centers for Medicare & Medicaid Services on 2007-08-14.

When was the information regarding Eastern Shore Care Services, P.C. most recently updated?

The details pertaining to the Eastern Shore Care Services, P.C., including its address, specialty, and other relevant information, were last refreshed on 2019-06-04.

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