Individual
MASON BUCKLEY CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6020 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9420
(334) 347-2732
Mailing address
996 COUNTY ROAD 57, SKIPPERVILLE, AL 36374-6863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E46
AL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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