# IMC OTOLARYNGOLOGY FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275828659
- **Authorized official:** MRS. MARIANNE F SMITH (DIRECTOR)
- **Authorized official phone:** (251) 463-2010

## Contact information

- **Practice address:** 3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL 36693-3318
- **Practice address phone:** (251) 463-2010
- **Mailing address:** 3401 MEDICAL PARK DR, BLDG 1, SUITE 103, MOBILE, AL 36693-3318
- **Mailing address phone:** (251) 463-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2011
- **Last updated:** 06/14/2011