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Individual

MS. JOHNNA LEIGH HEADLEY BLACKERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
22767 HIGHWAY 25, COLUMBIANA, AL 35051-3529
(205) 669-4131
Mailing address
1239 HIGHWAY 46, SHELBY, AL 35143-5225
(205) 337-8715

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C58-TA-896
AL

Other

Enumeration date
06/20/2011
Last updated
02/01/2024
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