Southeastern Plastic Surgery Assoc., Pc
LBN: Southeastern Plastic Surgery Assoc., Pc
Southeastern Plastic Surgery Assoc., Pc is an health care organization with primary practice located at 100 Towncenter Suite 111, Tuscaloosa AL 35406-1832. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Southeastern Plastic Surgery Assoc., Pc can be contacted via phone (205) 345-8820, or through Pernia, Luis R via phone (205) 345-8820.
Contact Information
Primary practice address
100 Towncenter Suite 111
Tuscaloosa AL 35406-1832
Phone: (205) 345-8820
Fax: (205) 345-8842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10631 | Alabama |
Profile Details
| NPI number | 1124168927 |
|---|---|
| LBN Legal business name | Southeastern Plastic Surgery Assoc., Pc |
| DBA Doing business as | |
| Authorized official | Pernia, Luis R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Mar 27th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124168927 | NPPES |
| Mississippi | Other | 441666528B | BCBS OF MS |
| Mississippi | MEDICAID | 528501310 | BCBS OF MS |
| Mississippi | Other | 240000037 | BCBS OF MS |
| Mississippi | Other | 51014573 | BCBS OF MS |
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