Individual
MR. JAMES E CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Mailing address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-B79-TA-791
AL
Other
Enumeration date
06/16/2008
Last updated
11/02/2010
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