Organization
NORTHEAST ALABAMA EYE SURGERY CENTER
Active
Other names
NORTHEAST AL EYE SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
314 S 5TH ST, GADSDEN, AL 35901-4224
(256) 547-8634
(404) 410-1211
Mailing address
500 ROSS ST 154-0455 BOX 360414, PITTSBURGH, PA 15262-0001
(256) 547-8634
(256) 547-3039
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5650
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC0068C
—
AL
Enumeration date
07/06/2006
Last updated
02/10/2025
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