Organization
CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC
Active
Other names
SmoothRock Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER HARMON MD (OWNER)
(205) 977-9876
Entity
Organization
Contact information
Practice address
1940 STONEGATE DR STE 140, VESTAVIA HLS, AL 35242-2541
(205) 968-3919
(205) 968-3918
Mailing address
1940 STONEGATE DR STE 140, VESTAVIA HLS, AL 35242-2541
(205) 968-3919
(205) 968-3918
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014-348
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
01C0001056
CMS CCN
AL
01
—
U3714
STATE LICENSE
AL
Enumeration date
04/12/2016
Last updated
03/04/2020
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