# RETINA SPECIALISTS OF WEST ALABAMA LLC

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

## Provider details

- **NPI number:** 1528150851
- **Authorized official:** SAMUEL WAYNE TAYLOR JR. M.D. (MEMBER)
- **Authorized official phone:** (205) 343-0003

## Contact information

- **Practice address:** 500 HARGROVE RD E, TUSCALOOSA, AL 35401-3751
- **Practice address phone:** (205) 343-0003
- **Practice address fax:** (205) 343-0029
- **Mailing address:** 2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL 35205-4009
- **Mailing address phone:** (205) 558-2525
- **Mailing address fax:** (205) 558-2554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/19/2020