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Organization
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY
Active
Organization
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BENTLEY M.D. (SURGEON/PRESIDENT)
(334) 284-2800
Entity
Organization
Contact information
Practice address
6727 TAYLOR CT, MONTGOMERY, AL 36117-7708
(334) 284-2800
(334) 284-0438
Mailing address
6727 TAYLOR CT, MONTGOMERY, AL 36117-7708
(334) 284-2800
(334) 284-0438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
12411
AL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
12601
AL
261QA1903X
Ambulatory Surgical Clinic/Center
14727
AL
261QA1903X
Ambulatory Surgical Clinic/Center
24023
AL
261QM2500X
Medical Specialty Clinic/Center
12411
AL
261QM2500X
Medical Specialty Clinic/Center
12601
AL
261QM2500X
Medical Specialty Clinic/Center
14727
AL
261QM2500X
Medical Specialty Clinic/Center
24023
AL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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