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Individual

DR. RICHARD HENRY MERRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
406 E THREE NOTCH ST, ANDALUSIA, AL 36420-3166
(334) 222-6632
(334) 222-9828
Mailing address
PO BOX 758, ANDALUSIA, AL 36420-1214
(334) 222-6632
(334) 222-9828

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-361-TA-258
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0483050001
CIGNA GOVERNMENT SERVICES
AL
Enumeration date
09/05/2006
Last updated
02/14/2008
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