Organization
MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN RIVES (CLINICAL MANAGER)
(205) 871-4440
Entity
Organization
Contact information
Practice address
2850 CAHABA RD, SUITE 100, BIRMINGHAM, AL 35223-2346
(205) 871-4440
(205) 871-7776
Mailing address
2850 CAHABA RD, SUITE 100, BIRMINGHAM, AL 35223-2346
(205) 871-4440
(205) 871-7776
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
AL16730
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1310014
UNITED HEALTH CARE
AL
Enumeration date
04/12/2007
Last updated
08/22/2020
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