Individual
EVERETT F MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
241 N COURT ST APT H, MONTGOMERY, AL 36104-2593
(334) 387-0500
(334) 387-0505
Mailing address
241 N COURT ST APT H, MONTGOMERY, AL 36104-2593
(343) 387-0500
(334) 387-0505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB61TA760
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913952
—
AL
05
—
153256
—
AL
05
—
529900280
—
AL
Enumeration date
08/27/2007
Last updated
06/02/2022
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