C B Mcinnish, Od PA

NPI #1548391337 in Brewton, Alabama

Provider Information

NPI Number: 1548391337
Entity Type: Organization
Organization Name: C B Mcinnish, Od PA
Primary Specialty: Optometrist
Enumeration Date: Mar 7, 2007
Last Updated: Apr 8, 2008

Practice Location

Address: 106 W JACKSON ST
City: Brewton
State: Alabama
ZIP Code: 36426-1516
Phone: (251) 867-3635

Authorized Official

Name: DR. CARL BYRON MCINNISH, OD, PA
Title: OWNER
Phone: (251) 867-3635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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