Organization Name: | EASTERN SHORE CARE SERVICES, P.C. |
NPI Number: | 1164614137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM STAGGERS (OWNER) |
Mailing Address: | 411 N Section St Fairhope |
State: | AL US |
Postal Code: | 365322649 |
Phone Number: | 2515913978 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |