Individual
JENNIFER MCWHORTER ELGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. OTR/L,
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
2308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051528890
BLUE CROSS
AL
05
—
890013480
—
AL
Enumeration date
06/15/2006
Last updated
03/10/2009
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