| NPI | 1578924700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M LOHRMANN Insurance Coordinator 770-205-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001674) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002749) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2017-08-16 |