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Organization

ADVANTAGE EYEWEAR

Active
Other names
Douglas Rutherford
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMMY D GILLILAND (CONSULTANT)
(480) 313-9208
Entity
Organization

Contact information

Practice address
2567 BELL RD, MONTGOMERY, AL 36117-4369
(334) 286-9595
(334) 286-4672
Mailing address
2567 BELL RD, MONTGOMERY, AL 36117
(334) 286-9595
(334) 286-4672

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
06/06/2007
Last updated
06/30/2008
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