Organization
GENERAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S WILSON MD (VICE PRESIDENT)
(256) 880-4510
Entity
Organization
Contact information
Practice address
4704 WHITESBURG DR SE, SUITE 200, HUNTSVILLE, AL 35802-1631
(256) 880-4510
(256) 880-4512
Mailing address
4704 WHITESBURG DR SE, SUITE 200, HUNTSVILLE, AL 35802-1631
(256) 880-4510
(256) 880-4512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529502500
—
AL
01
—
CC7854
RAILROAD MEDICARE
AL
Enumeration date
06/07/2006
Last updated
07/14/2011
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