Provider Demographics
NPI:1972194603
Name:CHOI SURGERY CENTER LLC
Entity Type:Organization
Organization Name:CHOI SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-901-2142
Mailing Address - Street 1:2100 DEVEREUX CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2562
Mailing Address - Country:US
Mailing Address - Phone:205-879-2221
Mailing Address - Fax:205-879-0615
Practice Address - Street 1:2100 DEVEREUX CIR STE 201
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2562
Practice Address - Country:US
Practice Address - Phone:205-879-2221
Practice Address - Fax:205-879-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical