NPI age
20 years
Enumerated 2006-03-14
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1912188996 | GROUP NPI |
| 01 (GA) | 1952370876 | INDIVIDUAL NPI |
| 05 (GA) | 000727086A |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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