Organization
COATES OPTICAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GAVIN MCFADEN D.O. (OWNER)
(334) 288-2021
Entity
Organization
Contact information
Practice address
4131 TROY HWY, MONTGOMERY, AL 36116
(334) 288-2021
(334) 288-2012
Mailing address
4131 TROY HWY, MONTGOMERY, AL 36116
(334) 288-2021
(334) 288-2012
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
S343TA056
AL
Other
Enumeration date
10/02/2006
Last updated
11/12/2010
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