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DR. JUANAKEE RAEDELL ADAMS O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1356322218

Individual Registrant:
DR. JUANAKEE RAEDELL ADAMS O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1712 5TH AVE N  BIRMINGHAM, AL 35203-2023 US
Tel: 205-323-4608  Fax: 205-252-0203

Contact information for business:
1712 5TH AVE N  BIRMINGHAM, AL 35203-2023 US
Tel: 205-323-4608  Fax: 205-252-0203

Registration Information:
NPI: 1356322218
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS-444-TA-297

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000810517AL05




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