| NPI | 1407987241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S KEITH Manager 706-378-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA 1029) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-16 |