Organization
INDIAN HILLS PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CLAY CONVILLE (DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
3601 WATERMELON RD, NORTHPORT, AL 35473-5138
(205) 333-4661
Mailing address
3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
(205) 759-6165
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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