Organization
RETINA SPECIALISTS OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW R SAPP M.D. (PRESIDENT)
(205) 933-2625
Entity
Organization
Contact information
Practice address
2208 UNIVERSITY BLVD STE 101, BIRMINGHAM, AL 35233-2313
(205) 933-2625
(205) 558-2567
Mailing address
2208 UNIVERSITY BLVD STE 101, BIRMINGHAM, AL 35233-2313
(205) 933-2625
(205) 558-2567
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529906880
—
AL
Enumeration date
06/19/2006
Last updated
05/19/2020
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