NPI | 1104940774 |
---|---|
Doing Business As | EYE FOR GOD |
Entity Type | Organization |
Authorized Contact | HERBERT HORTON BOWDEN Physician 256-539-9937 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 19260) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2024-04-03 |