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1124168927
SOUTHEASTERN PLASTIC SURGERY ASSOC., PC
TUSCALOOSA, AL
NPI
1124168927
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Entity Type
Organization
Authorized Contact
LUIS R PERNIA
Surgeon
205-345-8820
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AL 10631)
Enumeration Date
2007-02-08
Last Update Date
2012-03-27
Business Address
SOUTHEASTERN PLASTIC SURGERY ASSOC., PC
100 TOWNCENTER SUITE 111
TUSCALOOSA, AL 35406-1832
Phone number: 205-345-8820
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Mailing Address
SOUTHEASTERN PLASTIC SURGERY ASSOC., PC
100 TOWNCENTER SUITE 111
TUSCALOOSA, AL 35406-1832
Phone number: 205-345-8820
Copy
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