| NPI | 1487365987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIESHA L CASH Credentialing Mgr 205-514-8085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |