Individual
DR. HARTLEY ELISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4660
Mailing address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C43-TA-859
AL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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