Organization Name: | SHELBY PLASTIC SURGERY SKIN CANCER AND LASER SURGERY CENTER P.C. |
NPI Number: | 1104847706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLEMENT P. COTTER (CEO) |
Mailing Address: | 1216 1st St N Hwy 31 Alabaster |
State: | AL US |
Postal Code: | 350078702 |
Phone Number: | 2056644630 |
Fax Number: | 2056644658 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 00010998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |