Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEAU TAYLOR VANDIVER, MD
ActiveBEAU TAYLOR VANDIVER, MD is a Plastic Surgery within the Head & Neck healthcare provider located in MOUNTAIN BRK, Alabama. NPI 1861981102 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · MOUNTAIN BRK, AL
Registration Details
- NPI Number
- 1861981102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2018 (8.3010340856383 yrs)
- Last Updated
- Jun 13, 2023
- License
-
39047 (AL)
Practice Information
- Address
-
2700 HIGHWAY 280 S STE 300MOUNTAIN BRK, AL, 352232445Browse AL providers · Browse ZIP 35223
- Phone
- 2059309595
- Fax
- 2058027719
- Primary Specialty
-
Plastic Surgery within the Head & Neck
2082S0099X
- Additional Specialty
- Plastic Surgery within the Head & Neck
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.