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Organization
CLINTON PLASTIC SURGERY, LLC
Active
Organization
CLINTON PLASTIC SURGERY, LLC
Active
Other names
Clinton Surgery Suite
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S CLINTON MD (OWNER)
(205) 408-9787
Entity
Organization
Contact information
Practice address
7191 CAHABA VALLEY RD, 200, BIRMINGHAM, AL 35242-6402
(205) 408-9787
Mailing address
7191 CAHABA VALLEY RD, 200, BIRMINGHAM, AL 35242-6402
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
10939
AL
261QA1903X
Ambulatory Surgical Clinic/Center
10939
AL
Other
Enumeration date
10/01/2013
Last updated
01/16/2014
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