Healthcare Provider Details

I. General information

NPI: 1265900500
Provider Name (Legal Business Name): GRANDVIEW II SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 GRANDVIEW PKWY STE 150
BIRMINGHAM AL
35243-1935
US

IV. Provider business mailing address

3595 GRANDVIEW PKWY STE 150
BIRMINGHAM AL
35243-1935
US

V. Phone/Fax

Practice location:
  • Phone: 205-397-2100
  • Fax: 205-397-2101
Mailing address:
  • Phone: 205-397-2100
  • Fax: 205-397-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER J SCHAFFER
Title or Position: PHYSICIAN
Credential: MD
Phone: 205-397-2100