Organization
CARRINGTON MEDICAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIYA SLUTSKER MD (PRESIDENT)
(205) 508-5723
Entity
Organization
Contact information
Practice address
8178 GADSDEN HWY STE 112, TRUSSVILLE, AL 35173-5267
(205) 508-5723
(205) 508-5724
Mailing address
8178 GADSDEN HWY STE 112, TRUSSVILLE, AL 35173-5267
(205) 508-5723
(205) 508-5724
Taxonomy
Speciality
Code
Description
License number
State
2080B0002X
Pediatric Obesity Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34099
PENDING
AL
Enumeration date
02/22/2019
Last updated
06/11/2019
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