Vandiver, Beau Taylor

Vandiver, Beau Taylor is an individual health care provider with primary practice located at 2700 Highway 280 S Ste 300 , Mountain Brk AL 35223-2445. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is his primary health care specialty. Vandiver, Beau Taylor can be contacted via phone (205) 930-9595.

Contact Information

Primary practice address
2700 Highway 280 S Ste 300 Mountain Brk AL 35223-2445
Phone: (205) 930-9595
Fax: (205) 802-7719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 39047 Alabama

Profile Details

NPI number 1861981102
LBN Legal business name Vandiver, Beau Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2018
Last updated Jun 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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