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Organization

DARLENE FORSTYH HARRIS OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE FORSYTH HARRIS OD (OWNER OPTOMETRIST)
(256) 235-2020
Entity
Organization

Contact information

Practice address
2937 MCCLELLAN BLVD, ANNISTON, AL 36201
(256) 235-2020
(256) 235-2018
Mailing address
2937 MCCLELLAN BLVD, PO BOX 2354, ANNISTON, AL 36201
(256) 235-2020
(256) 235-2018

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5457TA301
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058416
AL
Enumeration date
01/07/2008
Last updated
06/16/2008
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