Individual
CASEY MALONE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3165 GREEN VALLEY RD, BIRMINGHAM, AL 35243-5262
(205) 967-2103
(205) 967-2119
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB75
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SB75
OPTOMETRIC LICENSE
AL
Enumeration date
06/22/2008
Last updated
02/02/2017
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