National Provider Identifier Database

SURGICAL ASSOCIATES OF EASTERN SHORE PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SURGICAL ASSOCIATES OF EASTERN SHORE PC

NPI Number 1528153053
Legal business name
LBN
SURGICAL ASSOCIATES OF EASTERN SHORE PC
Authorized official JIMMIE GAVRAS - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/03/2006
Last updated 05/18/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AL Medicaid: 529702280

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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