Organization · Type 2 NPI

Southeastern Plastic Surgery, LLC

Plastic Surgery Physician · Tuscaloosa, AL

NPI number 1174447726 Active

Practice location

100 Towncenter Blvd Ste 111D
Tuscaloosa, AL 35406-1832

Fax (205) 333-2515

Mailing address

PO Box 1005
Fayette, AL 35555-1090

Other practice locations

  • 15225 Highway 43 Ste I, Russellville, AL 35653-1969 · (205) 748-0158
  • 1035 Temple Ave N, Fayette, AL 35555-1923 · (205) 748-0158

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1174447726

Southeastern Plastic Surgery, LLC's National Provider Identifier is 1174447726, issued on Aug 6, 2026. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Aug 6, 2026.