Eye Surgical Associates P C

NPI #1669648879 in Dothan, Alabama

Provider Information

NPI Number: 1669648879
Entity Type: Organization
Organization Name: Eye Surgical Associates P C
Primary Specialty: Ophthalmology
Enumeration Date: May 7, 2008
Last Updated: Nov 17, 2011

Practice Location

Address: 2664 HARTFORD HWY
City: Dothan
State: Alabama
ZIP Code: 36305-4904
Phone: (334) 699-2244

Authorized Official

Name: DR. JOHN KENNETH WALLACE, MD
Title: PRESIDENT
Phone: (334) 699-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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