Organization
SOUTHERN EYE GROUP OF ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL GUPTA MD (MANAGING MEMBER)
(850) 476-6759
Entity
Organization
Contact information
Practice address
411 N SECTION ST, FAIRHOPE, AL 36532-2649
(855) 573-8462
Mailing address
5150 N DAVIS HWY, PENSACOLA, FL 32503-2030
(850) 476-6759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
12/23/2014
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