Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | S-D60-TA-A47 | AL |
NPI | 1003269622 |
---|---|
Provider Name | Alana K. Coker |
First Address | Huntsville, AL 35801-6402 |
Second Address | Huntsville, AL 35801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2016 |
Last Update Date | 10/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
512-11263 | BLUE CROSS (01) | AL |