| NPI | 1558669531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRIDGES Chief Operating Officer 706-651-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1425) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |