Organization
DRS. COULTER, MCROY & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA MCROY VINES CPO (OFFICE COMPTROLLER)
(256) 880-8058
Entity
Organization
Contact information
Practice address
8200 WHITESBURG DRIVE SOUTH, HUNTSVILLE, AL 35802
(256) 880-8058
(256) 880-1277
Mailing address
8200 WHITESBURG DRIVE SOUTH, HUNTSVILLE, AL 35802
(256) 880-8058
(256) 880-1277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
R151TA719
AL
152W00000X
Optometrist
S-595-TA-298
AL
152W00000X
Optometrist
Primary
S-847-TA-353
AL
152W00000X
Optometrist
S595 TA 298
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529603830
—
AL
Enumeration date
08/13/2006
Last updated
07/21/2010
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