Eastern Shore Cosmetic Surgery PC

NPI #1831592930 in Fairhope, Alabama

Provider Information

NPI Number: 1831592930
Entity Type: Organization
Organization Name: Eastern Shore Cosmetic Surgery PC
Primary Specialty: Plastic Surgery
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 7541 CIPRIANO CT
City: Fairhope
State: Alabama
ZIP Code: 36532-3029
Phone: (251) 929-7850

Authorized Official

Name: MRS. DENVIA POTTER
Title: SURGICAL COORDINATOR
Phone: (251) 929-7850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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