Individual
DR. JOE L. SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
685 SCHILLINGER RD S, MOBILE, AL 36695-8922
(251) 633-5011
(251) 633-5394
Mailing address
1840 BRADSHIRE DR, MOBILE, AL 36695-3078
(251) 639-7101
(251) 639-7101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-421-TA-151
AL
Other
Enumeration date
02/28/2007
Last updated
06/22/2011
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