Individual
DR. MARY ELIZABETH CHENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
102 INTERCOM DR, MADISON, AL 35758-2638
(256) 772-2929
Mailing address
741 PLUMMER RD, APARTMENT 401, HUNTSVILLE, AL 35806-3815
(256) 772-2929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D01-TA-949
AL
Other
Enumeration date
08/07/2013
Last updated
09/25/2013
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