Organization
VITAL SURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ESTIS (DIRECTOR OF OPERATIONS)
(205) 516-7123
Entity
Organization
Contact information
Practice address
1321 19TH ST S, BIRMINGHAM, AL 35205-4801
(205) 516-7123
Mailing address
1321 19TH ST S, BIRMINGHAM, AL 35205-4801
(205) 516-7123
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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