| NPI | 1922997477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SWANNER Authorized Official 205-317-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-10-21 |