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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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