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Organization
SHELBY ORAL FACIAL SURGERY PC
Active
Organization
SHELBY ORAL FACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS RYAN LIVINGSTON (MEMBER)
(205) 208-0167
Entity
Organization
Contact information
Practice address
420 1ST ST N, ALABASTER, AL 35007-8707
(205) 208-0167
(800) 244-8132
Mailing address
420 1ST ST N, ALABASTER, AL 35007-8707
(205) 208-0167
(800) 244-8132
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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