NPI | 1437486107 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDALL CLARK MULLINS Owner/Optometrist 205-585-6461 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-779-TA-718) |
Enumeration Date | 2009-11-17 |
Last Update Date | 2009-11-17 |