| NPI | 1780056945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE PETRO Owner 205-259-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 27512) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |