Organization
VEIN & COSMETIC CENTER OF TUSCALOOSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R KINGSLEY (PRESIDENT & OWNER)
(205) 823-0151
Entity
Organization
Contact information
Practice address
1800 MCFARLAND BLVD E, SUITE 336, TUSCALOOSA, AL 35404-5874
(205) 823-0151
(205) 823-5218
Mailing address
700 MONTGOMERY HWY, SUITE 210, VESTAVIA, AL 35216-1866
(205) 823-0150
(205) 823-5218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
280665
AL
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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