DEREK ALAN BLACK

CUMMING, GA
NPI1114353232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT002922)
Enumeration Date2013-09-20
Last Update Date2020-10-26
Business Address
Dr. DEREK ALAN BLACK O.D.
1211 BALD RIDGE MARINA RD
CUMMING, GA 30041-8484
Phone number: 470-239-6625
Mailing Address
Dr. DEREK ALAN BLACK O.D.
1211 BALD RIDGE MARINA RD
CUMMING, GA 30041-8484
Phone number: 470-239-6625
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