Individual
MARK C FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 19TH ST E, JASPER, AL 35501-5413
(205) 221-2033
(205) 221-2035
Mailing address
309 19TH ST E, JASPER, AL 35501-5413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-677-TA-182
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038536
—
AL
Enumeration date
09/13/2006
Last updated
08/07/2007
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