| NPI | 1255581989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE M BROOK Reimbursement Specialist 706-863-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 649) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-11-12 |