| NPI | 1073626149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LYNN GORLIN Owner 770-963-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA 1882) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-03-12 |