Individual
JESSETTA CARGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1201 POWDER PLANT RD UNIT 15, BESSEMER, AL 35022-5247
(205) 477-0229
(205) 477-0239
Mailing address
500 FLINT PARC CIR, BESSEMER, AL 35022-6157
(205) 422-6248
(205) 477-0239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S882TA441
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003125
BCBS
AL
Enumeration date
08/09/2006
Last updated
07/14/2023
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