Doctor Name: | CECIL D PAVEY |
NPI Number: | 1568564169 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | N/A |
Business Practice Address: | 700 7th St S Clanton, AL - 350453778 |
Business Phone Number: | 2052800064 |
Business Fax Number: | 2052800030 |
Mailing Address: | Po Box 346, CLANTON |
State: | AL |
Postal Code: | 350460346 |
Phone Number: | 2052800064 |
Fax Number: | 2052800030 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |