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Tara Smith Festa, O.D.

Optometrist in Mobile, AL. Individual provider (NPI-1).

NPI number1508096512
StatusActive
Last updated in NPPESNov 21, 2016

Details

NPI
1508096512
Entity type
Individual (NPI-1)
Name
Tara Smith Festa
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2009
Last updated
Nov 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristSC26TA845ALYes
152W00000X Optometrist2009020664MO

Practice location

3290 Dauphin St.
Suite 401
Mobile, AL 36606-4053

Phone 251-471-3309 · Fax 251-471-5046

Mailing address

250 State Farm Pkwy
Birmingham, AL 35209-7181

Phone 205-943-4650 · Fax 205-943-4688

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