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General NPI Number Information
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NPI Number | 1659489409
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Entity Type | Organization
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Legal Business Name | MAYNOR & MITCHELL EYE CENTER PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 3501 MEMORIAL PARKWAY SW SUITE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-533-0315
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Fax | 256-713-0052
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Provider Business Mailing Address
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Address Line | 3501 MEMORIAL PKWY SW STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6901
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Country | US
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Telephone | 256-533-0315
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Fax | 256-743-4797
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Authorized Official
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Title or Position | CEO
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Name | CORRIE GREGORY
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Credential |
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Telephone | 256-428-3240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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