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
Update your record
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