Individual
SCOTT W. LECROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 206-8473
(205) 206-8368
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081670
—
AL
01
—
510-81670
BCBS
AL
Enumeration date
07/20/2006
Last updated
05/24/2010
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