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NPI Code Detail

MEDICARE: SCOTT AND DUNAGAN, LLC

MEDICARE: SCOTT AND DUNAGAN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1417105446
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT AND DUNAGAN, LLC
Provider Business Mailing Address
First Line : 1811 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-937-7631
Fax Number : 251-937-7517
Provider Business Practice Location Address
First Line : 1811 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-937-7631
Fax Number : 251-937-7517
Authorized Official
Title or Position : MEMBER
Name : KIMBERLY M DUNAGAN
Credential : O.D.
Telephone Number : 251-937-7631
Provider Enumeration Date : 09/03/2008
Last Update Date : 04/06/2009

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Directions to “SCOTT AND DUNAGAN, LLC ” Practice Location

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