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Organization

HENAGAR EYE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARON KAYE LILES (PRESIDENT)
(256) 657-3453
Entity
Organization

Contact information

Practice address
17154 AL HWY 75, HENAGAR, AL 35978
(256) 657-3453
(256) 657-3294
Mailing address
PO BOX 236, HENAGAR, AL 35978-0236
(256) 657-3453
(256) 657-3294

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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