Individual
DR. ALEXANDRIA BAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1309 HIGHWAY 35 S, FOREST, MS 39074-5010
(601) 469-5656
(601) 469-5656
Mailing address
222 EASTPARK WAY, RIDGELAND, MS 39157-2064
(205) 529-5007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13077
CA
152W00000X
Optometrist
Primary
757
MS
152W00000X
Optometrist
OPT002313
GA
Other
Enumeration date
09/27/2006
Last updated
12/17/2007
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