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Organization
RETINA SPECIALISTS OF WEST ALABAMA LLC
Active
Organization
RETINA SPECIALISTS OF WEST ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WAYNE TAYLOR JR. M.D. (MEMBER)
(205) 343-0003
Entity
Organization
Contact information
Practice address
500 HARGROVE RD E, TUSCALOOSA, AL 35401-3751
(205) 343-0003
(205) 343-0029
Mailing address
2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL 35205-4009
(205) 558-2525
(205) 558-2554
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
05/19/2020
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