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

Southeastern Plastic Surgery Assoc , PC

Organization Specialist · NPI 1124168927

Southeastern Plastic Surgery Assoc , PC is a Specialist in Tuscaloosa, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007
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

100 Towncenter Ste 111
Tuscaloosa, AL 35406-1832
Phone: (205) 345-8820
Fax: (205) 345-8842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 10631 (AL)

Record details

NPI number1124168927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Pernia — Surgeon · (205) 345-8820
NPI enumeratedFebruary 8, 2007
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address100 Towncenter, Suite 111, Tuscaloosa, AL 35406-1832

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