JENNIFER MARGARET CARLISLE OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1780237727- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 2250 EASTERN BLVD, MONTGOMERY, AL, 361171555
- Phone
- (334) 274-2020
- Fax
- (334) 396-9924
Specialties & Taxonomies
Optometrist
License: GA #OPT003228
Optometrist
Primary License: AL #S-E26-TA-B61