Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Shore Cosmetic Surgery PC

Organization Plastic Surgery Physician · NPI 1831592930

Eastern Shore Cosmetic Surgery PC is a Plastic Surgery Physician in Fairhope, Alabama. Licensed in Alabama. Registered with an NPI since 2014.

Licensed in
AL
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7541 Cipriano Ct
Fairhope, AL 36532-3029
Phone: (251) 929-7850
Fax: (251) 929-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 23669 (AL)

Record details

NPI number1831592930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denvia Potter — Surgical Coordinator · (251) 929-7850
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014
Mailing address7541 Cipriano Ct, Fairhope, AL 36532-3029

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