# VISIONSOUTH PC

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

## Provider details

- **NPI number:** 1720350788
- **Authorized official:** MR. CHARLES MICHAEL ADAMS M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (205) 879-2221

## Contact information

- **Practice address:** 2700 HIGHWAY 280 S, SUITE 212, MOUNTAIN BRK, AL 35223-2420
- **Practice address phone:** (205) 879-2221
- **Practice address fax:** (205) 879-0615
- **Mailing address:** 2700 HIGHWAY 280 S, SUITE 212, MOUNTAIN BRK, AL 35223-2420
- **Mailing address phone:** (205) 879-2221
- **Mailing address fax:** (205) 879-0615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 15436 | AL | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000088561 | — | AL |