Organization
DR CHARLES J BRAZEAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN NORTON (OFFICE MANAGER)
(334) 863-2221
Entity
Organization
Contact information
Practice address
950 HIGHWAY 431 STE 4, ROANOKE, AL 36274-7314
(334) 863-2221
(334) 863-2319
Mailing address
950 HIGHWAY 431 STE 4, ROANOKE, AL 36274-7314
(334) 863-2221
(334) 863-2319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S407TA017
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126302
—
AL
Enumeration date
01/19/2007
Last updated
03/14/2014
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