NPI | 1225173578 |
---|---|
Doing Business As | LOW COUNTRY EYE CARE |
Entity Type | Organization |
Authorized Contact | TIMOTHY D HENDRICKS Optometrist 912-748-1272 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002025) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |