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Organization
HUNTSVILLE LASER CENTER, LLC
Active
Organization
HUNTSVILLE LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM N MITCHELL M.D. (OWNER)
(256) 704-3937
Entity
Organization
Contact information
Practice address
120 GOVERNORS DR SE, SUITE 101, HUNTSVILLE, AL 35801-4320
(256) 704-3937
Mailing address
120 GOVERNORS DRIVE SE, SUITE 101, HUNTSVILLE, AL 35801
(256) 704-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21789
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51008937
BCBS
AL
Enumeration date
05/09/2007
Last updated
08/22/2020
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