Provider Demographics
NPI:1073026365
Name:NORTHEAST ALABAMA SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:NORTHEAST ALABAMA SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:PAYNE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA, CSA, CNOR
Authorized Official - Phone:256-310-7972
Mailing Address - Street 1:961 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:EASTABOGA
Mailing Address - State:AL
Mailing Address - Zip Code:36260-7023
Mailing Address - Country:US
Mailing Address - Phone:256-310-7972
Mailing Address - Fax:256-835-4728
Practice Address - Street 1:961 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:EASTABOGA
Practice Address - State:AL
Practice Address - Zip Code:36260-7023
Practice Address - Country:US
Practice Address - Phone:256-310-7972
Practice Address - Fax:256-835-4728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty