| NPI | 1043705817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA TAYLOR Managed Care Sales COO Rdinator 770-822-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |