NPI 1104555770

Indian Hills Plastic Surgery PC

Organisation Plastic Surgery Physician Northport, AL

Practice location

Address: 3601 Watermelon Rd, Northport, AL 35473-5138
Phone: (205) 333-4661
Mailing address: 3901 Greensboro Ave STE a, Tuscaloosa, AL 35405-3771

Authorised official

Name: Daniel Clay Conville
Title: Director, Physician Services
Phone: (205) 759-6165

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Alabama →

Registry record

NPI: 1104555770
Entity type: Organization
NPI issued: 8 Jun 2022
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.