Organization
SOUTHERN EYE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW FREDERIC DANNEMANN MD (MD/PRESIDENT)
(334) 699-7100
Entity
Organization
Contact information
Practice address
1909 HONEYSUCKLE RD, SUITE 2, DOTHAN, AL 36305-4289
(334) 699-7100
Mailing address
1909 HONEYSUCKLE RD, SUITE 2, DOTHAN, AL 36305-4289
(334) 699-7100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16679
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
07/22/2009
Last updated
07/22/2009
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