| NPI | 1457575680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE MARTIN GRAHAM O PT Ician 404-244-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002123) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |