Provider Demographics
NPI:1356594238
Name:TROY SURGICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:TROY SURGICAL ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRUDIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SEIRAFI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:205-435-0938
Mailing Address - Street 1:PO BOX 240635
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-0635
Mailing Address - Country:US
Mailing Address - Phone:334-244-5868
Mailing Address - Fax:334-244-5882
Practice Address - Street 1:7201 COPPERFIELD DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7101
Practice Address - Country:US
Practice Address - Phone:205-435-0938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22745208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty