Organization
ANNISTON GENERAL SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD P BLACK JR. M.D. (PRESIDENT)
(256) 240-9660
Entity
Organization
Contact information
Practice address
1901 LEIGHTON AVE, ANNISTON, AL 36207-3270
(256) 240-9660
(256) 240-9636
Mailing address
1901 LEIGHTON AVE, ANNISTON, AL 36207-3270
(256) 240-9660
(256) 240-9636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
08/23/2010
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