Healthcare Provider Details
I. General information
NPI: 1588715569
Provider Name (Legal Business Name): JAMES C. GROTTING, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 INVERNESS CENTER PKWY SUITE 100
BIRMINGHAM AL
35242-4817
US
IV. Provider business mailing address
1 INVERNESS CENTER PKWY SUITE 100
BIRMINGHAM AL
35242-4817
US
V. Phone/Fax
- Phone: 205-930-1600
- Fax: 205-991-9521
- Phone: 205-930-1600
- Fax: 205-991-9521
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
CHRISTIAN
GROTTING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 205-930-1600