Organization
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Active
Other names
Sarrell Regional Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE EDMONDSON (MANAGER, LICENSING & CREDENTIALING)
(629) 999-5014
Entity
Organization
Contact information
Practice address
702 S QUINTARD AVE, ANNISTON, AL 36201-6677
(256) 741-7340
Mailing address
3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-839-TA-366
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932849
—
AL
Enumeration date
08/27/2007
Last updated
01/04/2022
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