Southern Eye Group of Alabama, LLC

NPI #1932547437 in Fairhope, Alabama

Provider Information

NPI Number: 1932547437
Entity Type: Organization
Organization Name: Southern Eye Group of Alabama, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 6, 2013
Last Updated: Dec 23, 2014

Practice Location

Address: 411 N SECTION ST
City: Fairhope
State: Alabama
ZIP Code: 36532-2649
Phone: (855) 573-8462

Authorized Official

Name: SUNIL GUPTA, MD
Title: MANAGING MEMBER
Phone: (850) 476-6759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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