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

Indian Hills Plastic Surgery PC

Organization Plastic Surgery Physician · NPI 1104555770

Indian Hills Plastic Surgery PC is a Plastic Surgery Physician in Northport, Alabama. Registered with an NPI since 2022.

In the registry since
2022
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

3601 Watermelon Rd
Northport, AL 35473-5138
Phone: (205) 333-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1104555770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Conville — Director, Physician Services · (205) 759-6165
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address3901 Greensboro Ave Ste A, Tuscaloosa, AL 35405-3771