Organization
MEDICAL SPAS OF AMERICA, INC
Active
Other names
Azia Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MIMS (BUSINESS OWNER)
(205) 980-7772
Entity
Organization
Contact information
Practice address
153 NARROWS PKWY, SUITE 201, BIRMINGHAM, AL 35242-8600
(205) 980-7772
Mailing address
153 NARROWS PKWY, SUITE 201, BIRMINGHAM, AL 35242-8600
(205) 980-7772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16935
AL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
16935
AL
207YS0123X
Facial Plastic Surgery Physician
22777
AL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
22777
AL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
22777
AL
208200000X
Plastic Surgery Physician
27053
AL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
27053
AL
208600000X
Surgery Physician
16935
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
16935
AL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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