# OCCMED SOUTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023458429
- **Authorized official:** DONALD WAYNE CASEY DO (MRO)
- **Authorized official phone:** (256) 236-9400

## Contact information

- **Practice address:** 700 QUINTARD AVE, SUITE B, ANNISTON, AL 36201-5758
- **Practice address phone:** (256) 236-9400
- **Practice address fax:** (256) 238-1498
- **Mailing address:** PO BOX 457, ANNISTON, AL 36202-0457
- **Mailing address phone:** (256) 236-9400
- **Mailing address fax:** (256) 238-1498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | DO-113 | AL | Yes |

## Other

- **Enumeration date:** 06/28/2013
- **Last updated:** 07/08/2013