LEROY MAXWELL

SELMA, AL
NPI1396758504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S435TA115)
Enumeration Date2006-08-15
Last Update Date2010-10-15
Business Address
Mr. LEROY MAXWELL OD MPH
2401 MEDICAL CENTER PKWY
SELMA, AL 36701-7756
Phone number: 334-872-2321
Mailing Address
Mr. LEROY MAXWELL OD MPH
PO BOX 650
SELMA, AL 36701-0650
Phone number: 334-872-2321