Individual
MRS. ELISE COX PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.O.
Contact information
Practice address
700 18TH ST S, SUITE #402, BIRMINGHAM, AL 35233-1856
(205) 939-1990
Mailing address
700 18TH ST S, SUITE #402, BIRMINGHAM, AL 35233-1856
(205) 939-1990
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009918060
—
AL
Enumeration date
12/04/2006
Last updated
12/18/2014
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