Individual
MR. GEORGE R CARLTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DISPENSING OPTICIAN
Contact information
Practice address
20 SOUTH DOUGLAS AVE, SYLACAUGA, AL 35150-2951
(256) 249-9339
(256) 249-9339
Mailing address
20 SOUTH DOUGLAS AVE, SYLACAUGA, AL 35150-2951
(256) 249-9339
(256) 249-9339
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004040
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/05/2006
Last updated
03/04/2009
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