NPI | 1033267398 |
---|---|
Doing Business As | SHOALS EYE CLINIC |
Entity Type | Organization |
Authorized Contact | MARTY CHADWICK BREWER President 256-766-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-A64-TA-625) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2008-10-07 |