NPI age
19 years
Enumerated 2006-09-21
Across 393 active technician/technologist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 152923602A | |
| 01 (GA) | LDO001527 | DISPENSING OPTICIAN |
Multi-provider organization. 1 individual provider on file at this primary address.
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