Surgery Clinic, LLC

NPI #1851681183 in Centre, Alabama

Provider Information

NPI Number: 1851681183
Entity Type: Organization
Organization Name: Surgery Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE SURGERY CLINIC, LLC
Primary Specialty: Surgery
Enumeration Date: Apr 7, 2011
Last Updated: Aug 17, 2011

Practice Location

Address: 395 NORTHWOOD DR
City: Centre
State: Alabama
ZIP Code: 35960-1045
Phone: (256) 547-6331

Authorized Official

Name: MRS. DIANETTE KEENER
Title: BILLING MANAGER
Phone: (256) 547-6331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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