| NPI | 1649845959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY K LEE Director 256-808-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-09-27 |