Timothy Kent Pellett OD

NPI 1962562348 - Optometrist - 152W00000X

NPI Details
NPI 1962562348
Gender Male
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 S MCKENZIE ST
FOLEY AL, 36535, US
Phone (251) 943-3369
Fax (251) 943-3267
Business Location
778 BEAR CREEK DR
GULF SHORES AL, 36542, US
Phone (251) 967-2780
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number S590TA277
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According to our database, Timothy Kent Pellett OD NPI is 1962562348, taxonomy code is 152W00000X and license number is S590TA277, license state is located at Alabama. Timothy Kent Pellett OD physically located at 2200 S Mckenzie St, Foley AL, 36535. NPI Number Timothy Kent Pellett OD has the Individual type.

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1962562348 NPI number is provided on an as is basis without warranty of any kind. 1962562348 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Kent Pellett OD are for informational purposes only.