Organization
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L WALDING MD (DIRECTOR)
(334) 699-7477
Entity
Organization
Contact information
Practice address
2800 ROSS CLARK CIR, SUITE 2, DOTHAN, AL 36301-2040
(334) 699-7477
Mailing address
2800 ROSS CLARK CIR, SUITE 2, DOTHAN, AL 36301-2040
(334) 699-7477
(334) 699-7548
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31063
AL
Other
Enumeration date
08/28/2014
Last updated
04/01/2015
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