Organization
EAST ALABAMA EYE CLINIC OF ANNISTON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT C KEYS MD (SECRETARY)
(256) 237-0371
Entity
Organization
Contact information
Practice address
1029 CHRISTINE AVE, ANNISTON, AL 36207-5709
(256) 237-0371
(256) 236-4181
Mailing address
1029 CHRISTINE AVE, ANNISTON, AL 36207-5709
(256) 237-0371
(256) 236-4181
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528601110
—
AL
Enumeration date
10/26/2006
Last updated
08/12/2024
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