Healthcare Provider Details

I. General information

NPI: 1386855930
Provider Name (Legal Business Name): ALABAMA SURGICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MONTGOMERY HWY SUITE 125 AND SUITE 200
BIRMINGHAM AL
35216-1842
US

IV. Provider business mailing address

200 MONTGOMERY HWY SUITE 125
BIRMINGHAM AL
35216-1842
US

V. Phone/Fax

Practice location:
  • Phone: 205-978-4969
  • Fax: 205-978-4964
Mailing address:
  • Phone: 205-978-4969
  • Fax: 205-978-4964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: LEE DARDEN
Title or Position: DIRECTOR
Credential: OT, CHT
Phone: 205-978-4969