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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