Organization
SOUTHERN FAMILY OPTOMETRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HA THI NGUYEN O.D. (PRESIDENT)
(901) 517-8178
Entity
Organization
Contact information
Practice address
690 HIGHWAY 78, SUMITON, AL 35148-3419
(205) 648-0371
(205) 648-0308
Mailing address
PO BOX 252, FULTONDALE, AL 35068-0252
(901) 517-8178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB11TA697
AL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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