Most Relevant Information
Provider Data
NPI Number: | 1003263559 |
Provider Name: | GUSSIE BELL BRANCH OD |
Entity Type: | Individual |
Taxonomy Code: | 152W00000X |
Specialty: | Optometrist |
License Number: | S-D63-TA-A44 |
Most Important Dates
Enumeration Date: | 05/14/2016 |
Last Updated: | 08/10/2016 |
Provider Practice Location
1160 EBELL RD
ONEONTA
AL
351214631
Practice Location Phone/Fax
Phone: | 2562766738 |
Fax: |
Provider Mailing Location
1160 EBELL RD
ONEONTA
AL
351214631
Provider Mailing Phone/Fax
Phone: | 2562766738 |
Fax: |