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Individual

G PERRIN UNDERWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2055 NORMANDIE DR, SUITE 212, MONTGOMERY, AL 36111-2732
(334) 284-4106
(334) 288-4691
Mailing address
2055 NORMANDIE DR, SUITE 212, MONTGOMERY, AL 36111-2732
(334) 284-4106
(334) 288-4691

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00011798
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912640
AL
01
051045453
BCBS
AL
Enumeration date
10/26/2006
Last updated
06/19/2009
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