Indian Hills Plastic Surgery PC

NPI #1104555770 in Northport, Alabama

Provider Information

NPI Number: 1104555770
Entity Type: Organization
Organization Name: Indian Hills Plastic Surgery PC
Primary Specialty: Plastic Surgery
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 3601 WATERMELON RD
City: Northport
State: Alabama
ZIP Code: 35473-5138
Phone: (205) 333-4661

Authorized Official

Name: DANIEL CLAY CONVILLE
Title: DIRECTOR, PHYSICIAN SERVICES
Phone: (205) 759-6165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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