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Individual

DR. DAVID PICKRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
300 EAST ST N, TALLADEGA, AL 35160-2085
(205) 913-8747
Mailing address
PO BOX 203, BIRMINGHAM, AL 35201-0203
(205) 913-8747

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S714-TA328
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058237
AL
05
009949205
AL
01
113959
EYEMED
AL
01
510-58237
BC-BS OF ALABAMA
AL
01
515-16691
BC-BS OF ALABAMA
AL
Enumeration date
12/13/2006
Last updated
07/08/2007
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