# PREMIER PLASTIC SURGERY CENTER

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

## Provider details

- **NPI number:** 1437571668
- **Authorized official:** PETER W. VAN HOY M.D. (PRESIDENT)
- **Authorized official phone:** (205) 930-9990

## Contact information

- **Practice address:** 2228 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2665
- **Practice address phone:** (205) 930-9990
- **Practice address fax:** (205) 380-9995
- **Mailing address:** 2228 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2665
- **Mailing address phone:** (205) 930-9990
- **Mailing address fax:** (205) 380-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 12633 | AL | Yes |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 01/07/2014