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Individual

MERIN AMANDA GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1755 AL-77, SOUTHSIDE, AL 35907-0103
(256) 442-6200
(256) 442-6292
Mailing address
1431 2ND AVE N, BESSEMER, AL 35020-5608
(205) 425-5182
(205) 426-5013

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7827T
TX
152W00000X
Optometrist
OPC 4669
FL
152W00000X
Optometrist
S-C72-TA-911
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137449
AL
Enumeration date
06/27/2011
Last updated
10/26/2018
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