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Individual

DR. GREGORY SHAW HARRELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7040 GADSDEN HWY, SUITE 100, TRUSSVILLE, AL 35173-2680
(205) 655-8833
(205) 655-8836
Mailing address
7040 GADSDEN HWY, SUITE 100, TRUSSVILLE, AL 35173-2680
(205) 655-8833
(205) 655-8836

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-452-TA-275
AL

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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