Provider Demographics
NPI:1043929672
Name:PLESSALA GYNECOLOGY & FERTILITY, PLLC
Entity type:Organization
Organization Name:PLESSALA GYNECOLOGY & FERTILITY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRBY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PLESSALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-344-2760
Mailing Address - Street 1:6701 AIRPORT BLVD STE B229
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6703
Mailing Address - Country:US
Mailing Address - Phone:251-634-8124
Mailing Address - Fax:
Practice Address - Street 1:6701 AIRPORT BLVD STE B229
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6703
Practice Address - Country:US
Practice Address - Phone:251-344-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty