Individual
MS. JULIE M BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3431 COLONNADE PKWY, C2, BIRMINGHAM, AL 35243-3232
(205) 967-8000
Mailing address
3805 12TH CT S, A3, BIRMINGHAM, AL 35222-4524
(205) 324-9269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB05TA700
AL
Other
Enumeration date
11/22/2005
Last updated
08/29/2007
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