Individual
DR. GEORGE GAVIN MCFADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4131 TROY HWY, MONTGOMERY, AL 36116-2644
(334) 288-2021
(334) 288-2012
Mailing address
4131 TROY HWY, MONTGOMERY, AL 36116-2644
(334) 288-2021
(334) 288-2012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-343-TA-056
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51058296
BC PROVIDER NO
AL
Enumeration date
08/15/2006
Last updated
03/14/2008
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