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Organization

VEIN & COSMETIC CENTER OF PRATTVILLE, LLC

Active
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Organization

VEIN & COSMETIC CENTER OF PRATTVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R KINGSLEY (PRESIDENT & OWNER)
(205) 823-0151
Entity
Organization

Contact information

Practice address
509 PINNACLE PL, PRATTVILLE, AL 36066-6544
(205) 823-0151
(205) 823-5218
Mailing address
700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL 35216-1866
(205) 823-0150
(205) 823-5218

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
280663
AL

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
About Stedi
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