Individual
DR. PARISA TACKETT DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
700 18TH ST S STE 601, BIRMINGHAM, AL 35233-3800
(205) 325-8620
Mailing address
PO BOX 830941, MSC #559, BIRMINGHAM, AL 35283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA81TA666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA81TA666
—
AL
Enumeration date
10/02/2006
Last updated
08/19/2020
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