NPI 1154721983

Southern Institute of Plastic Surgery, INC.

Organisation Plastic Surgery Physician Dothan, AL

Practice location

Address: 2800 Ross Clark Cir Suite 2, Dothan, AL 36301-2040
Phone: (334) 699-7477

Authorised official

Name: Jeffery L Walding
Title: Director
Phone: (334) 699-7477

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 31063 (AL)

Other Plastic Surgery providers in Alabama →

Registry record

NPI: 1154721983
Entity type: Organization
NPI issued: 28 Aug 2014
Record last updated: 1 Apr 2015

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.