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Contact Information

SURGICAL ASSOCIATES OF EASTERN SHORE PC
767 MIDDLE ST
FAIRHOPE, AL36532
 Phone: 251-990-9191
 Fax: 251-990-9189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SURGICAL ASSOCIATES OF EASTERN SHORE PC · (Female)

NPI Number 1528153053
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 05/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 529702280
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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