Healthcare Provider Details

I. General information

NPI: 1669031886
Provider Name (Legal Business Name): SURGICAL CLINIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-2805
US

IV. Provider business mailing address

1 CHASE CORPORATE DR STE 200
HOOVER AL
35244-7060
US

V. Phone/Fax

Practice location:
  • Phone: 205-824-6250
  • Fax: 205-824-6251
Mailing address:
  • Phone: 205-824-6250
  • Fax: 205-824-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLY WRIGHT
Title or Position: MANAGER
Credential:
Phone: 205-949-1800