Individual
TIMOTHY KENT PELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2200 S MCKENZIE ST, FOLEY, AL 36535
(251) 943-3369
(251) 943-3267
Mailing address
778 BEAR CREEK DR, GULF SHORES, AL 36542
(251) 967-2780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S590TA277
AL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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