NPI | 1407043052 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA PURCELL Manager, Provider Relations 770-822-4245 |
Organization Subpart ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-09-27 |
Last Update Date | 2007-09-27 |