KENNETH TREVOR SHEALY

TIFTON, GA
NPI1104436922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT003252)
Enumeration Date2020-08-06
Last Update Date2024-08-23
Business Address
KENNETH TREVOR SHEALY O.D.
1803 OLD OCILLA RD
TIFTON, GA 31794-1617
Phone number: 229-386-2181
Mailing Address
KENNETH TREVOR SHEALY O.D.
1803 OLD OCILLA RD
TIFTON, GA 31794-1617
Phone number: 229-386-2181
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