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Individual

SARA ANN UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3922A US HWY 80 WEST, PHENIX CITY, AL 36870
(334) 408-4083
(334) 408-0397
Mailing address
3858 FORTSON LN, COLUMBUS, GA 31909-5316
(334) 408-4083

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
156FX1100X
Ophthalmic Technician/Technologist
156FX1800X
Optician
Primary

Other

Enumeration date
05/18/2020
Last updated
08/04/2020
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