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Organization
MONTGOMERY EYE SURGERY CENTER LLC
Active
Organization
MONTGOMERY EYE SURGERY CENTER LLC
Active
Other names
Montgomery Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 270-6977
(334) 213-0622
Mailing address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 270-6977
(334) 213-0622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
U5103
AL
Other
Enumeration date
07/12/2007
Last updated
09/07/2023
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