Individual
TRACY MULVEHILL MILLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
201 BANGOR AVE SE, HANCEVILLE, AL 35077-5645
(256) 887-1550
Mailing address
160 GREEN ACRES BLVD, TRAFFORD, AL 35172-8782
(205) 238-4466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C91-TA-938
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216140
—
AL
Enumeration date
12/17/2012
Last updated
10/08/2019
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