Organization
SOUTHERN EYE ASSOCIATES AL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTUS STEPHENS MD (OWNER)
(334) 756-1020
Entity
Organization
Contact information
Practice address
14 MEDICAL PARK, VALLEY, AL 36854-3665
(334) 756-1020
Mailing address
14 MEDICAL PARK, VALLEY, AL 36854-3665
(334) 756-1020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529925870
—
AL
Enumeration date
11/08/2007
Last updated
12/11/2008
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