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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

NPI Number 1528153053
LBN Legal business name SURGICAL ASSOCIATES OF EASTERN SHORE PC
Authorized official JIMMIE GAVRAS - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 05/18/2016 - About 10 years ago
Identifiers
AL Medicaid 529702280
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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