Individual
DR. HEATHER MOON SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
27453 CAPSHAW RD STE B, ATHENS, AL 35613-7565
(256) 230-9637
(256) 230-0143
Mailing address
PO BOX 178, CAPSHAW, AL 35742-0178
(256) 230-9637
(256) 230-0143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
631274146
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126155
—
AL
Enumeration date
07/27/2010
Last updated
10/16/2014
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