Organization
PLASTIC SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYRIC B CROOK CMOM (OFFICE MANAGER)
(205) 298-8660
Entity
Organization
Contact information
Practice address
2000 STONEGATE TRL, SUITE 100, BIRMINGHAM, AL 35242-2246
(205) 298-8660
(205) 298-8664
Mailing address
2000 STONEGATE TRL, SUITE 100, BIRMINGHAM, AL 35242-2246
(205) 298-8660
(205) 298-8664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043305139
DR. OLIVER SR'S NPI#
AL
01
—
1518910892
DR. JACK'S NPI#
AL
01
—
1891880928
SR. OLIVER JR'S NPI#
AL
Enumeration date
10/04/2006
Last updated
10/07/2009
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