| NPI | 1295955664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PURCELL Manager, Provider Relations 770-822-4245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-03-06 |