Individual
MRS. TERESA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
822 LEIGHTON AVE, ANNISTON, AL 36207-5786
(256) 624-6455
Mailing address
822 LEIGHTON AVE, ANNISTON, AL 36207-5786
(256) 624-6455
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NOT REQUIRED
AL
Other
Enumeration date
05/15/2014
Last updated
03/08/2021
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