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Organization

VISIONSOUTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES MICHAEL ADAMS M.D. (PRESIDENT/OWNER)
(205) 879-2221
Entity
Organization

Contact information

Practice address
2700 HIGHWAY 280 S, SUITE 212, MOUNTAIN BRK, AL 35223-2420
(205) 879-2221
(205) 879-0615
Mailing address
2700 HIGHWAY 280 S, SUITE 212, MOUNTAIN BRK, AL 35223-2420
(205) 879-2221
(205) 879-0615

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15436
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000088561
AL
Enumeration date
02/06/2012
Last updated
02/06/2012
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