Individual
CHARLES J BRAZEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2005 30TH ST, VALLEY, AL 36854-3012
(334) 768-7202
(334) 768-3550
Mailing address
1326 JUDGE BROWN RD, VALLEY, AL 36854-7406
(706) 518-7118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
369
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126300
—
AL
Enumeration date
06/26/2006
Last updated
03/14/2014
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