Provider Demographics
NPI: | 1588715569 |
---|---|
Name: | JAMES C. GROTTING, MD, PC |
Entity type: | Organization |
Organization Name: | JAMES C. GROTTING, MD, PC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | CHRISTIAN |
Authorized Official - Last Name: | GROTTING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 205-930-1600 |
Mailing Address - Street 1: | 1 INVERNESS CENTER PKWY |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | BIRMINGHAM |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35242-4817 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 205-930-1600 |
Mailing Address - Fax: | 205-991-9521 |
Practice Address - Street 1: | 1 INVERNESS CENTER PKWY |
Practice Address - Street 2: | SUITE 100 |
Practice Address - City: | BIRMINGHAM |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35242-4817 |
Practice Address - Country: | US |
Practice Address - Phone: | 205-930-1600 |
Practice Address - Fax: | 205-991-9521 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-16 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | Group - Single Specialty |