Individual
DR. VALENCIA ROBERTSON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2014 MORRIS AVE, BIRMINGHAM, AL 35203-4108
(205) 328-1744
(205) 328-4270
Mailing address
2014 MORRIS AVE, BIRMINGHAM, AL 35203-4108
(205) 328-1744
(205) 328-4270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C08-TA-828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I410055
PTAN
AL
05
—
152614
—
AL
01
—
P01303269
RAILROAD MEDICARE PTAN
AL
Enumeration date
08/26/2009
Last updated
01/14/2015
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