Individual
CRYSTAL MAHARREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 542-9829
Mailing address
216 GAYLE DR, BIRMINGHAM, AL 35217-1921
(205) 542-9829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E12
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S-E12
AL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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