| NPI | 1336303148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L COWART Owner 770-537-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 057389) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 000902) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-15 |