| NPI | 1194948034 |
|---|---|
| Doing Business As | ELLIJAY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MELONIE CLEMMONS President 706-276-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001550) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-08-24 |