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Individual

DR. RALESHIA NIX BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
92 PLAZA LN, OXFORD, AL 36203-2440
(256) 835-4806
(256) 835-4988
Mailing address
2320 COLEMAN RD, APARTMENT 207 C, ANNISTON, AL 36207-6870
(256) 835-6896

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
S-911 TA-478
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51531919
BCBS PROVIDER NUMBER
AL
Enumeration date
11/27/2006
Last updated
10/13/2021
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