Surgical Associates of Eastern Shore PC

NPI #1528153053 in Fairhope, Alabama

Provider Information

NPI Number: 1528153053
Entity Type: Organization
Organization Name: Surgical Associates of Eastern Shore PC
Primary Specialty: Specialist
Enumeration Date: Oct 3, 2006
Last Updated: May 18, 2016

Practice Location

Address: 767 MIDDLE ST
City: Fairhope
State: Alabama
ZIP Code: 36532
Phone: (251) 990-9191

Authorized Official

Name: JIMMIE G GAVRAS, MD
Title: PHYSICIAN
Phone: (251) 990-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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