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Organization

VELVET JETER MADDOX, O.D. P.C.

Active
Other names
Enterprise Vision Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VELVET JETER MADDOX O.D. (PRESIDENT)
(334) 347-6599
Entity
Organization

Contact information

Practice address
607C BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2733
(334) 347-6599
Mailing address
607C BOLL WEEVIL CIR, ENTERPRISE, AL 36330-2733
(334) 347-6599
(334) 347-6599

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-686-TA-163
AL

Other

Enumeration date
04/11/2007
Last updated
08/24/2011
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