Organization
SONG EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAE YONG SONG MD (PRESIDENT/DOCTOR)
(334) 874-8787
Entity
Organization
Contact information
Practice address
1100 MEDICAL CENTER PKWY, SELMA, AL 36701-6794
(334) 874-8787
(334) 874-8780
Mailing address
1100 MEDICAL CENTER PKWY, SELMA, AL 36701-6794
(334) 874-8787
(334) 874-8780
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
045662
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143210001
PALMETTO
AL
01
—
J143
MEDICARE
—
Enumeration date
09/21/2006
Last updated
03/14/2008
Update your record
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