Provider Demographics
NPI:1275796344
Name:CARING SURGERY, LLC
Entity Type:Organization
Organization Name:CARING SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:ULANI
Authorized Official - Last Name:TWYNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:2562-529-1302
Mailing Address - Street 1:319 PARKS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2411
Mailing Address - Country:US
Mailing Address - Phone:256-259-1302
Mailing Address - Fax:256-259-1335
Practice Address - Street 1:319 PARKS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2411
Practice Address - Country:US
Practice Address - Phone:256-259-1302
Practice Address - Fax:256-259-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL208600000X261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102539Medicaid